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31ST & 3RD PHARMACY INC
RWII12203 The Albany Damien Center, Inc.
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Covered Entity Details
Entity Name
The Albany Damien Center, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII12203
Entity Address
728 Madison Ave, Ste 100
Albany, NY 12208-3302
Grant Number
X07HA00044
Participating Start Date
10/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
10/13/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Perry Junjulas, Executive Director
(518) 449-7119 Ext: 102
Contract Pharmacy Representative
John Civitello, Principal, Island Care Pharmacy
(516) 822-6300
Signed By Date
10/13/2015
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