Contract Pharmacy Details

MERK PHARMA INC.
CH02848E DAMIAN FAMILY CARE CENTERS, INC.

Covered Entity Details

Entity Name

DAMIAN FAMILY CARE CENTERS, INC.

Subdivision Name

Third Avenue Family Health Center

Type

HRSA-Funded Health Center

340B ID

CH02848E

Entity Address

2604 Third Avenue
Bronx, NY 10454

Grant Number

H80CS01765

Participating Start Date

7/1/2016

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

MERK PHARMA INC.

Pharmacy Address

D/B/A 5 STAR PHARMACY & SURGICAL SUPPLIE
2604 3RD AVE
D B A 5 STAR PHARMACY & SURGICAL SUPPLIE
BRONX, NY 10454

Pharmacy Comments

Contract Details

Approval Date

4/8/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Ravi Chenna, Pharmacist/Owner
(718) 401-6500

Signed By Date

340B Drug Pricing Program Database