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SALAAM PHARMACY INC.
CHC26191-00 Housing Works Health Services III, Inc.
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Covered Entity Details
Entity Name
Housing Works Health Services III, Inc.
Subdivision Name
East New York Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26191-00
Entity Address
2640 Pitkin Ave
Brooklyn, NY 11208-2629
Grant Number
H80CS26191
Participating Start Date
10/1/2014
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
SALAAM PHARMACY INC.
Pharmacy Address
155 CRYSTAL ST
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
1/2/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/17/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nadine Juste-Beckles, VP of Primary Care Operations
(718) 827-8700 Ext: 4303
Contract Pharmacy Representative
Salaam Pharmacy
Mujjahid Huq, Owner
(718) 484-8157
Signed By Date
1/2/2015
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