340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
5407 PHARMACY INC
CH021887R SUNSET PARK HEALTH COUNCIL, INC.
Print
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
5407 PHARMACY INC
Pharmacy Address
LUTHERAN PHARMACY
5407 2ND AVE
BROOKLYN, NY 11220
Pharmacy Comments
Contract Details
Approval Date
8/10/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/3/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
5407 Pharmacy, Inc.
Dil Choudhary, Owner & President
(718) 492-8900
Signed By Date
8/10/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session