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DUANE READE
CHC12866-00 BEACON CHRISTIAN COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
BEACON CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
Beacon Christian Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12866-00
Entity Address
2079 Forest Avenue
Staten Island, NY 10303-1735
Grant Number
H80CS12866
Participating Start Date
1/1/2008
Last Recertification Date
3/12/2025
Pharmacy Details
Pharmacy Name
DUANE READE
Pharmacy Address
1010 ROSSVILLE AVE
STATEN ISLAND, NY 10309
Pharmacy Comments
01/15/2014 - Pharmacy name/address correction, changed in error on 3/28/2013.
Contract Details
Approval Date
4/15/2013
Contract Begin Date
4/15/2013
Carve-In Effective Date
Contract Comments
04/15/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
12/16/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
DAVID H. KIM, EXECUTIVE DIRECTOR
(718) 815-6560
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2013
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