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WATSONS PHARMACY LLC
CH02848C DAMIAN FAMILY CARE CENTERS, INC.
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Covered Entity Details
Entity Name
DAMIAN FAMILY CARE CENTERS, INC.
Subdivision Name
Fire House Health Center
Type
HRSA-Funded Health Center
340B ID
CH02848C
Entity Address
8956 162nd St
Jamaica, NY 11432-5072
Grant Number
H80CS01765
Participating Start Date
4/12/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WATSONS PHARMACY LLC
Pharmacy Address
192-21 STATION RD
FLUSHING, NY 11358-2956
Pharmacy Comments
Contract Details
Approval Date
1/6/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Chue, CFO
(718) 657-1100 Ext: 4116
Contract Pharmacy Representative
Jerry Louie, Pharmacist
(718) 359-1188
Signed By Date
1/6/2014
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