340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RIVERDALE HEALTHY LIFE INC.
RWI07501 Well of Hope Community Development Corporation Inc
Print
Covered Entity Details
Entity Name
Well of Hope Community Development Corporation Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI07501
Entity Address
207 Broadway
Paterson, NJ 07501
Grant Number
H89HA49835
Participating Start Date
1/1/2018
Last Recertification Date
2/24/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
RIVERDALE HEALTHY LIFE INC.
Pharmacy Address
D/B/A TRI-ROAD PHARMACY
D/B/A TRI-ROAD PHARMACY
791 WESTCHESTER AVENUE
BRONX, NY 10455
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jerome King, Executive Director
(973) 523-0700
Contract Pharmacy Representative
Tri-Road Pharmacy
Michael Haddad, Pharmacist
(718) 618-7692
Signed By Date
4/12/2018
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