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DJ DRUGS & SURGICALS INC
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
DJ DRUGS & SURGICALS INC
Pharmacy Address
AHMA RX
2381 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
Pharmacy Comments
Contract Details
Approval Date
10/16/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Maria Lugo, Interim President & CEO
(212) 316-7907
Contract Pharmacy Representative
Express Drugs
John Lee, CEO
(212) 749-6626
Signed By Date
10/16/2015
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