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EXPRESS HEALTH MART PHARMACY CORP.
CHC26191-02 HOUSING WORKS HEALTH SERVICES III, INC.
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Covered Entity Details
Entity Name
HOUSING WORKS HEALTH SERVICES III, INC.
Subdivision Name
Cylar House Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26191-02
Entity Address
743-749 E 9TH ST
NEW YORK, NY 10009-5335
Grant Number
H80CS26191
Participating Start Date
7/1/2015
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
EXPRESS HEALTH MART PHARMACY CORP.
Pharmacy Address
1173 NOSTRAND AVE
BROOKLYN, NY 11225
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/20/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Nadine Juste-Beckles, VP of Primary Care Operations
(718) 827-8700 Ext: 4303
Contract Pharmacy Representative
Express Health Mart Pharmacy Corp.
SHAHBAZ CHAUDHARY, Owner
(646) 463-2226 Ext: 6313236337
Signed By Date
4/13/2017
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