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DAWN PHARMACY INC
CH02211J 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, Inc. - Red Hook
Type
HRSA-Funded Health Center
340B ID
CH02211J
Entity Address
120 Richards St
Brooklyn, NY 11231-1635
Grant Number
H80CS00430
Participating Start Date
3/5/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
DAWN PHARMACY INC
Pharmacy Address
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691-3909
Pharmacy Comments
Contract Details
Approval Date
6/28/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Majorie J. Hill, CEO
(718) 945-7150 Ext: 1308
Contract Pharmacy Representative
Apex
Pranav Shah, pharmacy owner
(718) 848-4900
Signed By Date
6/28/2017
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