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EVERS PHARMACY INC.
CHC24139-00 HELP/PSI Services Corp.
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Covered Entity Details
Entity Name
HELP/PSI Services Corp.
Subdivision Name
HELP/PSI Bronx Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24139-00
Entity Address
1543 Inwood Ave
Bronx, NY 10452-2001
Grant Number
H80CS24139
Participating Start Date
10/1/2012
Last Recertification Date
2/22/2019
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
EVERS PHARMACY INC.
Pharmacy Address
EVERS PHARMACY INC.
142-02 ROCKAWAY BLVD.
JAMAICA, NY, NY 11436-1419
Pharmacy Comments
Contract Details
Approval Date
10/13/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Carol Murphy, COO
(718) 681-8700 Ext: 2185
Contract Pharmacy Representative
Anthony Varikos, Supervising Pharmacist
(718) 323-8377
Signed By Date
10/13/2015
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