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LINDENWOOD RX CENTER INC
CH02211H THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
Subdivision Name
Joseph P. Addabbo Family Health Center at Guy Brewer Blvd.
Type
HRSA-Funded Health Center
340B ID
CH02211H
Entity Address
118-11 Guy R. Brewer Blvd
Jamaica, NY 11434-2101
Grant Number
H80CS00430
Participating Start Date
7/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LINDENWOOD RX CENTER INC
Pharmacy Address
LIRX
1380 LORING AVE
C/O PHARMACY
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Majorie J. Hill, CEO
(718) 945-7150 Ext: 1308
Contract Pharmacy Representative
LIRX
jay patel, Pharmacy manager
(215) 836-1213
Signed By Date
1/17/2017
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