Contract Pharmacy Details

LG DRUGS INC.
FQHCLA334 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

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

LG DRUGS INC.

Pharmacy Address

DBA: GENA CARE PHARMACY
173 CHAUNCEY ST
GENA CARE PHARMACY
BROOKLYN, NY 11233-2154

Pharmacy Comments

Contract Details

Approval Date

4/18/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2018
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Paul Albertson, Vice President
(212) 748-2256

Contract Pharmacy Representative

LG Drugs Inc
Ngozi Agbasionwe, Owner
(718) 484-7166

Signed By Date

4/18/2017

340B Drug Pricing Program Database