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SOL'S 4 PHARMACY INC
CH02360S URBAN HEALTH PLAN, INC.
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Covered Entity Details
Entity Name
URBAN HEALTH PLAN, INC.
Subdivision Name
Urban Health Plan Mobile Medical Unit
Type
HRSA-Funded Health Center
340B ID
CH02360S
Entity Address
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Grant Number
H80CS00368
Participating Start Date
10/1/2015
Last Recertification Date
2/14/2018
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
SOL'S 4 PHARMACY INC
Pharmacy Address
DBA: SOL'S PHARMACY
10718 37TH DR
CORONA, NY 11368
Pharmacy Comments
Contract Details
Approval Date
2/7/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Contract Pharmacy Representative
SOL'S 4 PHARMACY INC
Andrew Silverman, President
(718) 639-4107
Signed By Date
2/7/2017
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