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BROOKLYN STAR PHARMACY INC.
CH021887R SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
WOMEN INFANTS CHILDREN FAMILY HEALTH CENTER at NYU LANGONE
Type
HRSA-Funded Health Center
340B ID
CH021887R
Entity Address
5610 Second Avenue
Brooklyn, NY 11220
Grant Number
H80CS07914
Participating Start Date
10/1/2012
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
BROOKLYN STAR PHARMACY INC.
Pharmacy Address
D/B/A LUTHERAN PHARMACY
5407 2ND AVENUE
BROOKLYN, NY 11220
Pharmacy Comments
Contract Details
Approval Date
4/5/2013
Contract Begin Date
4/5/2013
Carve-In Effective Date
Contract Comments
04/09/2013 - Public health emergency declared in NY effective 10/27/2012
Contract Termination Date
Termination Reason
5/8/2017
Ownership change
Contacts
Covered Entity Signing Official
LARRY MCREYNOLDS, CEO
(718) 630-7216
Contract Pharmacy Representative
Satya Dasari, Owner
(718) 492-9800
Signed By Date
4/5/2013
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