340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NL PHARMACY LLC
RWI11226 Haitian Centers Council, Inc
Print
Covered Entity Details
Entity Name
Haitian Centers Council, Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11226
Entity Address
3807-3809 Church Avenue
Brooklyn, NY 11203
Grant Number
H89HA00015
Participating Start Date
7/1/2015
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
NL PHARMACY LLC
Pharmacy Address
475 NEW LOTS AVE
BROOKLYN, NY 11207
Pharmacy Comments
Contract Details
Approval Date
4/10/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andre K. Peck, Executive Director
(718) 940-2200 Ext: 113
Contract Pharmacy Representative
Jacob Jamron, President
(718) 991-6700
Signed By Date
4/10/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session