340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
904 PROSPECT PHARMACY INC
CH02360A URBAN HEALTH PLAN, INC.
Print
Covered Entity Details
Entity Name
URBAN HEALTH PLAN, INC.
Subdivision Name
BELLA VISTA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH02360A
Entity Address
890 Hunts Point Ave
Bronx, NY 10474-5402
Grant Number
H80CS00368
Participating Start Date
1/1/2003
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
904 PROSPECT PHARMACY INC
Pharmacy Address
D/B/A BOCA PHARMACY
904 PROSPECT AVE
BRONX, NY 10459-3929
Pharmacy Comments
Contract Details
Approval Date
12/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Contract Pharmacy Representative
Boca Pharmacy
Jacob Jamron, CEO
(718) 991-6700
Signed By Date
12/13/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session