340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JAC PHARMACY INC
CHC29016-00 APICHA COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
APICHA COMMUNITY HEALTH CENTER
Subdivision Name
Apicha Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29016-00
Entity Address
400 Broadway
New York, NY 10013-3698
Grant Number
H80CS29016
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
JAC PHARMACY INC
Pharmacy Address
.
93-15 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Pharmacy Comments
Contract Details
Approval Date
12/18/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/25/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Yumiko Sano, COO
(646) 744-0980
Contract Pharmacy Representative
National Rx Pharma
Jose Campon, President
(516) 523-6948
Signed By Date
12/18/2015
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