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TOWN TOTAL HEALTH, LLC
RWI10032 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
RWI10032
Entity Address
2036 Amsterdam Avenue
New York, NY 10032
Grant Number
H89HA00015
Participating Start Date
6/11/2013
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
TOWN TOTAL HEALTH, LLC
Pharmacy Address
D/B/A MEIJER SPECIALTY PHARMACY
415 CROSSWAYS PARK DRIVE
SUITE A
WOODBURY, NY 11797
Pharmacy Comments
Contract Details
Approval Date
1/29/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2018
Ownership change
Contacts
Covered Entity Signing Official
Philip Zweiger, CFO
(212) 645-0875 Ext: 314
Contract Pharmacy Representative
Anthony Luna, VP, Business Development
(818) 359-2802
Signed By Date
1/29/2014
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