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COMMUNITY CARE RX INC.
CH021887X 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 - Queens
Type
HRSA-Funded Health Center
340B ID
CH021887X
Entity Address
51-40 59th Street
Queens, NY 11377-1137
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
COMMUNITY CARE RX INC.
Pharmacy Address
131 SUNNYSIDE BLVD STE 100
PLAINVIEW, NY 11803
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
Community Care Rx, Inc.
Hossam Abdel Maksoud, Owner
(347) 561-3806
Signed By Date
10/13/2017
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