Contract Pharmacy Details

MANHATTAN PLAZA PHARMACY
CH020490 William F. Ryan Community Health Center, Inc.

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

MANHATTAN PLAZA PHARMACY

Pharmacy Address

619 NINTH AVENUE
NEW YORK, NY 10036

Pharmacy Comments

Contract Details

Approval Date

4/1/2004

Contract Begin Date

4/1/2004

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/23/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database