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GHC PHARMACY INC.
CH021630 COMMUNITY HEALTHCARE NETWORK
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Covered Entity Details
Entity Name
COMMUNITY HEALTHCARE NETWORK
Subdivision Name
COMMUNITY HEALTHCARE NETWORK
Type
HRSA-Funded Health Center
340B ID
CH021630
Entity Address
60 MADSION AVE
5TH FLOOR
NEW YORK, NY 10010
Grant Number
H80CS00597
Participating Start Date
10/1/2001
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
GHC PHARMACY INC.
Pharmacy Address
DBA MERRICK PHARMACY
234-28 MERRICK BLVD
ROSEDALE, NY 11422
Pharmacy Comments
Contract Details
Approval Date
1/10/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alan Wengrofsky, CFO
(212) 545-2481
Contract Pharmacy Representative
GHC PHARMACY INC
Edward Altman, Pharmacy Director
(917) 292-1550
Signed By Date
1/10/2018
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