340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HISPANIOLA PHARMACEUTICAL GROUP INC
FQHCLA334AD NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Print
Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
Segundo Ruiz Belvis Diagnostic and Treatment Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA334AD
Entity Address
545 E 142nd St
Bronx, NY 10454-2110
Grant Number
LALCS00169
Participating Start Date
7/1/2015
Last Recertification Date
2/8/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
HISPANIOLA PHARMACEUTICAL GROUP INC
Pharmacy Address
D/B/A SOUTH BRONX PHARMACY
411 EAST 138TH STREET
BRONX, NY 10454
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
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
Hispaniola Pharmaceutical Group
Reddy Bomreddy, Owner
(718) 401-7900 Ext: 7186209000
Signed By Date
10/12/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session