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SERVAID CORP
CHC24139-00 HELP/PSI Services Corp.
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Covered Entity Details
Entity Name
HELP/PSI Services Corp.
Subdivision Name
HELP/PSI Bronx Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24139-00
Entity Address
1543 Inwood Ave
Bronx, NY 10452-2001
Grant Number
H80CS24139
Participating Start Date
10/1/2012
Last Recertification Date
2/22/2019
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
SERVAID CORP
Pharmacy Address
DBA 1ST BRONXCARE PHARMACY
438 E 149TH STREET
BRONX, NY 10455
Pharmacy Comments
Contract Details
Approval Date
1/26/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christopher Quinones, CAO
(718) 681-8700 Ext: 4424
Contract Pharmacy Representative
Servaid Corporation
Muhammad Imran, Director
(718) 483-9891
Signed By Date
1/26/2018
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