Contract Pharmacy Details

NEVINS DRUGS INC.
CHC22680-00 HEALTHCARE CHOICES NY, INC.

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

NEVINS DRUGS INC.

Pharmacy Address

739 FULTON ST
BROOKLYN, NY 11217

Pharmacy Comments

Contract Details

Approval Date

4/20/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/9/2018
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Maria Siebel, CEO
(718) 234-0073 Ext: 26003

Contract Pharmacy Representative

Nevins
Andrew Ha, President
(718) 422-0100

Signed By Date

4/20/2015