340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARLEM HOSPITAL CENTER
FQHCLA334F NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Print
Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
PS 194
Type
Health Center Program Look-Alike
340B ID
FQHCLA334F
Entity Address
244 W 144th St
New York, NY 10030-1202
Grant Number
LALCS00169
Participating Start Date
7/1/2015
Last Recertification Date
2/10/2019
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
HARLEM HOSPITAL CENTER
Pharmacy Address
c/o Outpatient Pharmacy
46 West 137th Street
New York, NY 10037
Pharmacy Comments
Contract Details
Approval Date
7/27/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479
Contract Pharmacy Representative
harlem hospital center
Hinnah Farooqi, Director of Pharmacy Services
(212) 939-1762
Signed By Date
7/27/2015
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