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TOTAL CARE RX, INC.
CH021887U SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
Metro Community Health Centers - Staten island
Type
HRSA-Funded Health Center
340B ID
CH021887U
Entity Address
2324 Forest Avenue
Staten Island, NY 10303
Grant Number
H80CS07914
Participating Start Date
4/1/2016
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
TOTAL CARE RX, INC.
Pharmacy Address
WORLD'S FAIR PHARMACY
22310 UNION TPKE
OAKLAND GARDENS, NY 11364-3645
Pharmacy Comments
Contract Details
Approval Date
10/21/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
TOTAL CARE RX INC.
Robert Hopkins, President & Vice President
(718) 358-1300 Ext: 557
Signed By Date
10/21/2016
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