340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LINCOLN PLACE PHARMACY INC
FQHCLA334 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Print
Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
Washington Heights
Type
Health Center Program Look-Alike
340B ID
FQHCLA334
Entity Address
600 W 168th St
New York, NY 10032-3702
Grant Number
LALCS00169
Participating Start Date
7/1/2015
Last Recertification Date
1/31/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
LINCOLN PLACE PHARMACY INC
Pharmacy Address
1135 EASTERN PKWY
BROOKLYN, NY 11213
Pharmacy Comments
Contract Details
Approval Date
1/19/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479
Contract Pharmacy Representative
Lincoln Place
Arshad Tariq, owner
(718) 282-6100
Signed By Date
1/19/2017
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