Contract Pharmacy Details

DUANE READE
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

DUANE READE

Pharmacy Address

630 FOREST AVENUE
STATEN ISLAND, NY 10310

Pharmacy Comments

Contract Details

Approval Date

7/5/2012

Contract Begin Date

7/5/2012

Carve-In Effective Date

10/1/2017

Contract Comments

Contract Termination Date
Termination Reason

3/3/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Henry Thompson, Executive Director
(718) 876-2599

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/10/2012

340B Drug Pricing Program Database