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VALUE PHARMACY INC.
FQHCLA334AH NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
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Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
Gouverneur Healthcare Services
Type
Health Center Program Look-Alike
340B ID
FQHCLA334AH
Entity Address
227 Madison St
New York, NY 10002-7537
Grant Number
LALCS00169
Participating Start Date
7/1/2015
Last Recertification Date
2/22/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
VALUE PHARMACY INC.
Pharmacy Address
257 BROADWAY
LYNBROOK, NY 11563
Pharmacy Comments
Contract Details
Approval Date
10/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/4/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
Value Pharmacy
Barry Beshkin, CEO
(718) 271-1997
Signed By Date
10/12/2017
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