340B Drug Pricing Program Database

Pharmacy Name

SREEVEN PHARMACY INC.

Pharmacy Address

D/B/A 88 STREET PHARMACY & ELM HEALTH
1695 1ST AVENUE
NEW YORK, NY 10128-4804

Pharmacy Comments

Approval Date

5/15/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/20/2019
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Nicole Nurse, Sr Vice President for Clinical Affairs
(212) 633-0800 Ext: 1241

Contract Pharmacy Representative

ramakrishna Lankalapalli, Owner
(212) 348-8900

Signed By Date

5/15/2017