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THRIFTWAY 10TH AVE. DRUG CORP.
CH020490 William F. Ryan Community Health Center, Inc.
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Covered Entity Details
Entity Name
William F. Ryan Community Health Center, Inc.
Subdivision Name
Ryan Health | West 97th Street
Type
HRSA-Funded Health Center
340B ID
CH020490
Entity Address
110 W 97th St
NEW YORK, NY 10025-6450
Grant Number
H80CS00061
Participating Start Date
7/1/1998
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
THRIFTWAY 10TH AVE. DRUG CORP.
Pharmacy Address
THRIFTWAY PHARMACY
646 TENTH AVENUE
NEW YORK, NY 10036
Pharmacy Comments
Contract Details
Approval Date
4/23/2009
Contract Begin Date
4/23/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/10/2009
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