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SEVENTH ELM DRUG CORP.
CH02371BP INSTITUTE FOR FAMILY HEALTH, THE
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Covered Entity Details
Entity Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
West 17th Street Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH02371BP
Entity Address
230 W 17th St
New York, NY 10011-5325
Grant Number
H80CS00768
Participating Start Date
1/1/2018
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
SEVENTH ELM DRUG CORP.
Pharmacy Address
D/B/A ELM DRUGS
56 SEVENTH AVE
NEW YORK, NY 10011
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alan Woghin, VP of FInance and CFO
(212) 633-0815 Ext: 1410
Contract Pharmacy Representative
Seventh Elm Drug
Elena Baranov, Representative
(212) 255-6100
Signed By Date
4/12/2018
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