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J & J COLUMBUS DRUG CO. INC
CH02049E William F. Ryan Community Health Center, Inc.
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Covered Entity Details
Entity Name
William F. Ryan Community Health Center, Inc.
Subdivision Name
Ryan Health | Adair
Type
HRSA-Funded Health Center
340B ID
CH02049E
Entity Address
565 Manhattan Ave
New York, NY 10027-5250
Grant Number
H80CS00061
Participating Start Date
1/1/2010
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
J & J COLUMBUS DRUG CO. INC
Pharmacy Address
DBA: TOWN DRUG & SURGICAL
1009 COLUMBUS AVE
NEW YORK, NY 10025-2596
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbra E. Minch, CEO
(212) 316-7917
Contract Pharmacy Representative
citydrug
Jose Caseres, Owner
(212) 781-1011
Signed By Date
10/13/2014
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