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LINDENWOOD RX CENTER INC
CH02161X MORRIS HEIGHTS HEALTH CENTER INC
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Covered Entity Details
Entity Name
MORRIS HEIGHTS HEALTH CENTER INC
Subdivision Name
PS/MS 29
Type
HRSA-Funded Health Center
340B ID
CH02161X
Entity Address
758 Courtlandt Ave
Bronx, NY 10451-4308
Grant Number
H80CS00472
Participating Start Date
1/1/2016
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LINDENWOOD RX CENTER INC
Pharmacy Address
LIRX
1380 LORING AVE
C/O PHARMACY
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
1/14/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
1/1/2017
Contract Comments
Contacts
Covered Entity Signing Official
Judith L. Fairweather, EVP
(718) 483-1207
Contract Pharmacy Representative
LIRX
Jitendra Patel, Director Of Pharmacy
(718) 277-0898
Signed By Date
1/14/2016
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