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GHC PHARMACY INC.
CHC22680-00 HEALTHCARE CHOICES NY, INC.
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Covered Entity Details
Entity Name
HEALTHCARE CHOICES NY, INC.
Subdivision Name
HealthCare Choices NY, Inc. - Brooklyn
Type
HRSA-Funded Health Center
340B ID
CHC22680-00
Entity Address
6209 16th Ave
Brooklyn, NY 11204-2702
Grant Number
H80CS22680
Participating Start Date
7/1/2012
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
GHC PHARMACY INC.
Pharmacy Address
DBA MERRICK PHARMACY
234-28 MERRICK BLVD
ROSEDALE, NY 11422
Pharmacy Comments
Contract Details
Approval Date
4/1/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
04/03/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contacts
Covered Entity Signing Official
Maria Siebel, CEO
(718) 234-0073 Ext: 26003
Contract Pharmacy Representative
GHC PHARMACY INC
Edward Altman, Pharmacy Director
(917) 292-1550
Signed By Date
4/1/2013
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