Contract Pharmacy Details

NATES PHARMACY
CHC16639-00 COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER OF RICHMOND, INC.

Subdivision Name

CHCR

Type

HRSA-Funded Health Center

340B ID

CHC16639-00

Entity Address

235 Port Richmond Avenue
Staten Island, NY 10302-1701

Grant Number

H80CS16639

Participating Start Date

7/1/2008

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

NATES PHARMACY

Pharmacy Address

252-B PORT RICHMOND AVE.
STATEN ISLAND, NY 10302

Pharmacy Comments

Contract Details

Approval Date

3/13/2009

Contract Begin Date

3/13/2009

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/2/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

3/5/2009

340B Drug Pricing Program Database