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B & T WEST BRIGHTON PHARMACY INC
CHC16639-02 COMMUNITY HEALTH CENTER OF RICHMOND, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF RICHMOND, INC.
Subdivision Name
CHCR - 135 Canal St, 3rd Floor
Type
HRSA-Funded Health Center
340B ID
CHC16639-02
Entity Address
135 CANAL ST
STATEN ISLAND, NY 10304-2059
Grant Number
H80CS16639
Participating Start Date
7/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
B & T WEST BRIGHTON PHARMACY INC
Pharmacy Address
DBA B & T PHARMACY
702 CASTLETON AVE
STATEN ISLAND, NY 10310
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Benito Lindo, CFO
(718) 924-2254 Ext: 7414
Contract Pharmacy Representative
B&T
Tony Gorokhovshy, Owner
(718) 273-7200
Signed By Date
4/17/2017
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