340B Drug Pricing Program Database

Pharmacy Name

CROWN PHARMA INC

Pharmacy Address

DBA-LAVIDA PHARMACY
40-20 82ND ST
ELMHURST, NY 11373-1305

Pharmacy Comments

Approval Date

10/9/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Paul Albertson, Vice President
(212) 748-2256

Contract Pharmacy Representative

Crown Pharmacy
Ratna Chakilam, Main Contact
(718) 426-2525

Signed By Date

10/9/2017