Contract Pharmacy Details

CHEM RX PHARMACY SERVICES LLC
CH02848H DAMIAN FAMILY CARE CENTERS, INC.

Covered Entity Details

Entity Name

DAMIAN FAMILY CARE CENTERS, INC.

Subdivision Name

35th Street Health Center

Type

HRSA-Funded Health Center

340B ID

CH02848H

Entity Address

500 8TH AVE
NEW YORK, NY 10018-6504

Grant Number

H80CS01765

Participating Start Date

7/1/2016

Last Recertification Date

2/16/2017

Entity Termination Date

4/1/2018

Pharmacy Details

Pharmacy Name

CHEM RX PHARMACY SERVICES LLC

Pharmacy Address

TRADE NAME: PHARMERICA
51 CHARLES LINDBERGH BLVD
UNIONDALE, NY 11553-3658

Pharmacy Comments

Contract Details

Approval Date

4/8/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2018
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

ChemRx
Jody Silva Falk, Associate Vice President
(516) 721-8717

Signed By Date

340B Drug Pricing Program Database