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EVERS RX INC
CHC24139-04 HELP/PSI SERVICES CORP.
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Covered Entity Details
Entity Name
HELP/PSI SERVICES CORP.
Subdivision Name
HELP/PSI Westchester Square Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24139-04
Entity Address
2510 Westchester Avenue
Ste 202
Bronx, NY 10461
Grant Number
H80CS24139
Participating Start Date
10/1/2015
Last Recertification Date
2/22/2019
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
EVERS RX INC
Pharmacy Address
226 E 144TH ST
2 FLOOR
BRONX, NY 10451-5909
Pharmacy Comments
Contract Details
Approval Date
7/28/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Anthony Varikos, Supervising Pharmacist
(718) 323-8377
Signed By Date
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