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AVS RX
CHC24139-03 HELP/PSI Services Corp.
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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
AVS RX
Pharmacy Address
DBA: RUBIN CHEMISTS
828 NOSTRAND AVE
BROOKLYN, NY 11216-4403
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
Rubin Chemists
Krishna Inapuri, Supervising Pharmacists
(718) 493-8833
Signed By Date
1/24/2016
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