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MELBOURNE CHEMISTS INC
CHC28355-00 UNION COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
UNION COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Union Community Health Center #1
Type
HRSA-Funded Health Center
340B ID
CHC28355-00
Entity Address
260 E 188th St
Bronx, NY 10458-5302
Grant Number
H80CS28355
Participating Start Date
4/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MELBOURNE CHEMISTS INC
Pharmacy Address
2021 GRAND CONCOURSE
BRONX, NY 10453
Pharmacy Comments
Contract Details
Approval Date
8/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Anne Spellman, Chief Operating Officer
(718) 618-8236
Contract Pharmacy Representative
Manson Pharmacy
KRIS CHALUVADI, Manager
(718) 299-2800
Signed By Date
8/7/2017
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