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DUANE READE
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
DUANE READE
Pharmacy Address
279 W 125TH STREET
NEW YORK, NY 10027-4408
Pharmacy Comments
11/05/2012 DEA check, name upadte(was Walgreens #14148)
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/4/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Maria Lugo, Interim President & CEO
(212) 316-7907
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2015
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