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LENOX TERRACE PHARMACY INC
CHC26191-05 Housing Works Health Services III, Inc.
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Covered Entity Details
Entity Name
Housing Works Health Services III, Inc.
Subdivision Name
Housing Works Health Services III at W 37 Street
Type
HRSA-Funded Health Center
340B ID
CHC26191-05
Entity Address
301 W 37th St Fl 4
New York, NY 10018
Grant Number
H80CS26191
Participating Start Date
1/1/2018
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
LENOX TERRACE PHARMACY INC
Pharmacy Address
DBA: LENOX TERRACE DRUGS
20 W 135TH ST
NEW YORK, NY 10037-2534
Pharmacy Comments
Contract Details
Approval Date
12/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Troy, SVP, Healthcare Services
(347) 473-7458
Contract Pharmacy Representative
Pharmacy Specialist Group Inc
Satish Gunda, Owner
(212) 234-2050
Signed By Date
12/11/2017
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