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GREENE-VAN PHARMACY CORP
CH021887W 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
Type
HRSA-Funded Health Center
340B ID
CH021887W
Entity Address
842 A LEFFERTS AVE
BROOKLYN, NY 11203-1301
Grant Number
H80CS07914
Participating Start Date
1/1/2017
Last Recertification Date
2/12/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
GREENE-VAN PHARMACY CORP
Pharmacy Address
D/B/A PROSPECT DRUGS
94 GREENE AVE
BROOKLYN, NY 11238-1011
Pharmacy Comments
Contract Details
Approval Date
10/28/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
Green-Van Pharmacy Corp d/b/a Prospect Drugs
NAVEEN PARUPALLI, MEMBER
(240) 498-2151
Signed By Date
10/28/2016
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