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CORNER PHARMACY INC
CHC00064-02 ODA PRIMARY HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
ODA PRIMARY HEALTH CARE CENTER, INC.
Subdivision Name
Park Avenue Primary Health Care Center
Type
HRSA-Funded Health Center
340B ID
CHC00064-02
Entity Address
517 Park Ave
Brooklyn, NY 11205-1631
Grant Number
H80CS00064
Participating Start Date
10/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CORNER PHARMACY INC
Pharmacy Address
CORNER PHARMACY
166 DIVISION AVE
BROOKLYN, NY 11211-1121
Pharmacy Comments
Contract Details
Approval Date
4/30/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Deutsch, Chief Executive Officer
(718) 260-4600 Ext: 301
Contract Pharmacy Representative
Steven Weiss, owner
(718) 599-2771
Signed By Date
4/30/2017
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