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HEALTH CENTER PHARMACY
CH02211K THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
THE ADDABBO JOSEPH P FAMILY HEALTH CENTER INC
Subdivision Name
Joseph P. Addabbo Family Health Center, Inc. - Ozone Park
Type
HRSA-Funded Health Center
340B ID
CH02211K
Entity Address
10534 Rockaway Blvd
Ozone Park, NY 11417-2306
Grant Number
H80CS00430
Participating Start Date
10/1/2014
Last Recertification Date
2/20/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
HEALTH CENTER PHARMACY
Pharmacy Address
6200 BEACH CHANNEL DR
ARVERNE, NY 11692-1169
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Majorie J. Hill, CEO
(718) 945-7150 Ext: 1308
Contract Pharmacy Representative
Apex
Pranav Shah, pharmacy owner
(718) 848-4900
Signed By Date
1/17/2017
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