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909 COLUMBUS RX NY LLC
RWI10003 AIDS Service Center of Lower Manhattan Inc
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Covered Entity Details
Entity Name
AIDS Service Center of Lower Manhattan Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI10003
Entity Address
64 W35th Street - 3rd Fl.
New York, NY 10001
Grant Number
H89HA00015
Participating Start Date
6/11/2013
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
909 COLUMBUS RX NY LLC
Pharmacy Address
D/B/A QUICKRX
909 COLUMBUS AVE
NEW YORK, NY 10025
Pharmacy Comments
Contract Details
Approval Date
1/7/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Philip Zweiger, CFO
(212) 645-0875 Ext: 314
Contract Pharmacy Representative
Quick Rx Pharmacy Group
Elan Katz, CEO
(917) 733-4301
Signed By Date
1/7/2016
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