340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICINE CENTER RX LLC
FQHCLA334AN NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Print
Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
Morrisania D&TC
Type
Health Center Program Look-Alike
340B ID
FQHCLA334AN
Entity Address
1225 Gerard Ave
Bronx, NY 10452-8001
Grant Number
LALCS00169
Participating Start Date
7/1/2015
Last Recertification Date
2/21/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
MEDICINE CENTER RX LLC
Pharmacy Address
92 E 167TH ST
BRONX, NY 10452-8203
Pharmacy Comments
Contract Details
Approval Date
7/6/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479
Contract Pharmacy Representative
Medicine Center
Neeraj Tirunagari, Owner
(718) 410-2814
Signed By Date
7/6/2016
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