Contract Pharmacy Details

EVERS RX INC
CHC24139-03 HELP/PSI Services Corp.

Covered Entity Details

Entity Name

HELP/PSI Services Corp.

Subdivision Name

HELP/PSI Queens Health Center

Type

HRSA-Funded Health Center

340B ID

CHC24139-03

Entity Address

105-04 Sutphin Blvd
Jamaica, NY 11435-5022

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 RX INC

Pharmacy Address

226 E 144TH ST
2 FLOOR
BRONX, NY 10451-5909

Pharmacy Comments

Contract Details

Approval Date

1/24/2016

Contract Begin Date

4/1/2016

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

1/24/2016