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OLSHINS PHARMACY
CHC00064-00 ODA PRIMARY HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
ODA PRIMARY HEALTH CARE CENTER, INC.
Subdivision Name
ODA PRIMARY HEALTH CARE CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CHC00064-00
Entity Address
14 HEYWARD STREET
BROOKLYN, NY 11249-7823
Grant Number
H80CS00064
Participating Start Date
1/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OLSHINS PHARMACY
Pharmacy Address
114 CONGRESS ST
NEWARK, NJ 07105
Pharmacy Comments
Contract Details
Approval Date
4/8/2013
Contract Begin Date
4/8/2013
Carve-In Effective Date
Contract Comments
04/09/2013 - Public health emergency declared in NY effective 10/27/2012
Contacts
Covered Entity Signing Official
EUGENE EHRENFELD, CHIEF EXECUTIVE OFFICER
(718) 260-4600 Ext: 310
Contract Pharmacy Representative
Joel Robert Grodman, Registered Pharmacist In Charge (RPIC)
(973) 344-9000
Signed By Date
4/8/2013
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