Covered Entity Details

DSH330395 EPISCOPAL HEALTH SERVICES INC (Active) - information as of 5/2/2025 10:32:39 PM

Main Details

Name

EPISCOPAL HEALTH SERVICES INC

Subdivision Name

ST JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH330395

Medicare Provider Number

330395

Additional Details

Current Program Status

Active

Registration Date

12/15/2005

Participating Start Date

12/15/2005

Participating Approval Date

12/15/2005

Last Recertification Date

9/17/2024

Contacts

Authorizing Official

St. John's Episcopal
Donald Morrish, Chief Executive Officer
(718) 869-7321

Primary Contact

St.John's Episcopal
Karen Muir, Chief Pharmacy Officer
(718) 869-7180

Addresses

Street Address

327 BEACH 19TH STREET
FAR ROCKAWAY, NY 11691

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
11/24/09 UPDATED ENTITY NAME (WAS ST JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE)	11/24/2009

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
NY	03005612,05606331,00729382	1346274537,1689151201,1700049145

Shipping Addresses

Shipping Address 1

EPISCOPAL HEALTH SERVICES INC
327 BEACH 19TH STREET, LOBBY
FAR ROCKAWAY, NY 11691

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/26/2017	07/01/2017	10/27/2022	11/23/2022
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/26/2017	07/01/2017		04/26/2017
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/26/2017	07/01/2017		04/26/2017
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/26/2017	07/01/2017		04/26/2017
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/26/2017	07/01/2017		04/26/2017
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/26/2017	07/01/2017		04/26/2017
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/26/2017	07/01/2017	10/27/2022	11/23/2022
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/26/2017	07/01/2017		04/26/2017
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/26/2017	07/01/2017	10/27/2022	11/23/2022
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/12/2021	10/01/2021		10/01/2021
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	6 SPRING MILL DR	MALVERN	PA	19355	10/11/2022	01/01/2023		01/01/2023
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	2345 WATERS DRIVE	MENDOTA HEIGHTS	MN	55120	01/17/2025	04/01/2025		04/01/2025
Contract Detail	CORAM HEALTHCARE CORPORATION OF GREATER	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	48-23 55TH AVENUE	MASPETH	NY	11378	04/17/2017	07/01/2017	09/20/2022	10/04/2022
Contract Detail	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02442	271 BEACH 20TH STREET	FAR ROCKAWAY	NY	11691	04/06/2017	07/01/2017		04/06/2017
Contract Detail	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02720	88-07 ROCKAWAY BEACH BLVD.	ROCKAWAY BEACH	NY	11693	04/06/2021	07/01/2021		07/01/2021
Contract Detail	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02145	929 BROADWAY	WOODMERE	NY	11598	10/04/2022	01/01/2023		01/01/2023
Contract Detail	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 03621	170-05 LINDEN BLVD.	JAMAICA	NY	11434	10/04/2022	01/01/2023		01/01/2023
Contract Detail	CVS ALBANY, L.L.C.	DBA: CVS/PHARMACY # 02440	530 BURNSIDE AVENUE	INWOOD	NY	11096	10/04/2022	01/01/2023		01/01/2023
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/12/2021	10/01/2021		10/01/2021
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/17/2018	07/01/2018		04/17/2018
Contract Detail	DUANE READE	116-02 BEACH CHANNEL DRIVE		FAR ROCKAWAY	NY	11694	10/04/2022	01/01/2023		01/01/2023
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/07/2021	01/11/2021	12/23/2023	08/14/2024
Contract Detail	FAR ROCKAWAY DRUGS INC	D/B/A OCEAN PARK DRUGS	17-27 SEAGIRT BLVD	FAR ROCKAWAY	NY	11691	07/18/2016	10/01/2016	06/06/2022	09/23/2022
Contract Detail	FAR ROCKAWAY PHARMCY CORP	2119 MOTT AVE		FAR ROCKAWAY	NY	11691-3215	10/06/2016	01/01/2017	06/03/2020	06/08/2020
Contract Detail	GENOVESE DRUG STORES, INC.	RITE AID #10615	23 EAST PARK AVENUE	LONG BEACH	NY	11561	10/20/2015	01/01/2016	05/30/2018	05/31/2018
Contract Detail	GENOVESE DRUG STORES, INC.	RITE AID #10606	16040 CROSS BAY BLVD.	HOWARD BEACH	NY	11414-3407	10/20/2015	01/01/2016	05/30/2018	05/31/2018
Contract Detail	JPR PHARMACY INC	VISTA PHARMACY	529 BEACH 20TH ST	FAR ROCKAWAY	NY	11691	02/11/2016	04/01/2016	05/07/2020	05/14/2020
Contract Detail	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	10/16/2020	10/23/2020		10/23/2020
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/16/2020	10/23/2020		10/23/2020
Contract Detail	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	10/16/2020	10/23/2020		10/23/2020
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/17/2018	07/01/2018	09/30/2022	10/04/2022
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/17/2017	07/01/2017		04/17/2017
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/12/2021	10/01/2021		10/01/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/12/2021	10/01/2021		10/01/2021
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #7930	10640 ROCKAWAY BEACH BLVD	ROCKAWAY PARK	NY	11694	10/20/2015	01/01/2016	03/13/2018	05/31/2018
Contract Detail	RITE AID OF NEW YORK, INC.	RITE AID #4836	245-14 FRANCIS LEWIS BLVD	ROSEDALE	NY	11422	10/20/2015	01/01/2016	05/30/2018	05/31/2018
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #17151	10640 ROCKAWAY BEACH BLVD	ROCKAWAY PARK	NY	11694	04/17/2018	07/01/2018		04/17/2018
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #17680	16040 CROSS BAY BLVD	HOWARD BEACH	NY	11414	04/17/2018	07/01/2018		04/17/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/17/2018	07/01/2018		04/17/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/17/2018	07/01/2018		04/17/2018
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	04/17/2018	07/01/2018	11/05/2021	11/23/2022
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/17/2018	07/01/2018		04/17/2018

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH330395A	Child	DSH	EPISCOPAL HEALTH SERVICES INC	St. John's Episcopal Ambulatory Care Center / Pediatric and ENT	495 Beach 20th Street	Far Rockaway	NY	Active
DSH330395B	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Community Mental Health Clinic	521 Beach 20th Street	Far Rockaway	NY	Active
DSH330395C	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Community Day Treatment Program	1908 Brookhaven Avenue	Far Rockaway	NY	Active
DSH330395D	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Clinical Learning Center - Ambulatory Care Clinics	19-09 Plainview ave	Queens	NY	Active
DSH330395E	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Margaret O. Carpenter Women's Health Center - Women's Health	105-20 Rockaway Beach	Queens	NY	Active
DSH330395F	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Ambulatory Pavilion - Radiation Oncology	19-20 Brookhaven avenue	Queens	NY	Active
DSH330395G	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Ambulatory Pavilion - OB/GYN	19-20 Brookhaven	Queens	NY	Active
DSH330395H	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Ambulatory Pavilion - Oncology	19-20 Brookhaven Avenue	Queens	NY	Active
DSH330395J	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Ambulatory Pavilion - Endoscopy	19-20 Brookhaven Avenue	Queens	NY	Active
DSH330395K	Child	DSH	EPISCOPAL HEALTH SERVICES INC	Ambulatory Pavilion - Primary Care	19-20 Brookhaven Avenue	Queens	NY	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Profile Change Request	Muir, Karen Director of Pharmacy St.John's Episcopal 7188697180	Muir, Karen Chief Pharmacy Officer St.John's Episcopal 7188697180	2/19/2025 4:02 PM
Contacts	Authorizing Official	Update	Profile Change Request	Morrish, Donald Chief Executive Officer St. John's Episcopal 7188695760	Morrish, Donald Chief Executive Officer St. John's Episcopal 7188697321	1/17/2025 2:13 PM
Details	Last Recertification Date	Update	Recertification	8/22/2023 4:40:53 PM	9/17/2024 7:53:26 AM	9/17/2024 7:53 AM
Contacts	Authorizing Official	Update	Change Request	Walsh, Gerard M. CEO St. John's Episcopal 7188697320	Morrish, Donald Chief Executive Officer St. John's Episcopal 7188695760	3/21/2024 12:42 PM
Details	Last Recertification Date	Update	Recertification	9/1/2022 1:53:00 PM	8/22/2023 4:40:53 PM	8/22/2023 4:40 PM
Details	Last Recertification Date	Update	Recertification	9/13/2021 4:08:39 PM	9/1/2022 1:53:00 PM	9/1/2022 1:53 PM
Details	Last Recertification Date	Update	Recertification	9/15/2020 1:14:20 PM	9/13/2021 4:08:39 PM	9/13/2021 4:08 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1700049145 ( )		9/15/2020 1:14 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1346274537 ( )		9/15/2020 1:14 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1689151201 ( )		9/15/2020 1:14 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1346274537	9/15/2020 1:14 PM
Medicaid Billing	NPI: State	Insert	Recertification		NY	9/15/2020 1:14 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1689151201	9/15/2020 1:14 PM
Medicaid Billing	NPI: State	Insert	Recertification		NY	9/15/2020 1:14 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1700049145	9/15/2020 1:14 PM
Medicaid Billing	NPI: State	Insert	Recertification		NY	9/15/2020 1:14 PM
Details	Last Recertification Date	Update	Recertification	8/19/2019 2:32:30 PM	9/15/2020 1:14:20 PM	9/15/2020 1:14 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	7/27/2020 10:33 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		05606331	7/27/2020 10:33 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	7/27/2020 10:33 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1689151201	7/27/2020 10:33 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	2/4/2020 11:33 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		03005612	2/4/2020 11:33 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		NY	2/4/2020 11:33 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1346274537	2/4/2020 11:33 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1700049145	12/4/2019 3:05 PM
Details	Last Recertification Date	Update	Recertification	8/22/2018 2:21:59 PM	8/19/2019 2:32:30 PM	8/19/2019 2:32 PM
Addresses	Shipping Address	Insert	Change Request		EPISCOPAL HEALTH SERVICES INC 327 BEACH 19TH STREET, LOBBY FAR ROCKAWAY, NY 11691	7/10/2019 8:38 AM
Details	Last Recertification Date	Update	Recertification	11/8/2017 1:38:58 PM	8/22/2018 2:21:59 PM	8/22/2018 2:21 PM
Details	Last Recertification Date	Update	Recertification	10/25/2017 12:48:30 PM	11/8/2017 1:38:58 PM	11/8/2017 1:38 PM
Details	Last Recertification Date	Update	Recertification	8/23/2016 12:00:00 AM	10/25/2017 12:48:30 PM	10/25/2017 12:48 PM
Contacts	Authorizing Official	Update		Walsh, Gerard M. CEO 7188697320	Walsh, Gerard M. CEO St. John's Episcopal 7188697320	10/25/2017 12:20 PM
Contacts	Primary Contact	Update		Muir, Karen Director of Pharmacy 7188697180	Muir, Karen Director of Pharmacy St.John's Episcopal 7188697180	10/24/2017 1:16 PM
Contacts	Authorizing Official	Update		Brown, Richard L. Interim CEO 7188697320	Walsh, Gerard M. CEO 7188697320	4/26/2017 3:30 PM
Addresses	Main Address	Insert			327 BEACH 19TH STREET FAR ROCKAWAY, NY 11691	8/23/2016 11:00 AM
Contacts	Primary Contact	Update		TSANG, BELLA DIRECTOR OF PHARMACY 7188697180	Muir, Karen Director of Pharmacy 7188697180	8/23/2016 11:00 AM
Medicaid Billing	Medicaid: Is Primary	Update		True	False	8/23/2016 11:00 AM
Details	Last Recertification Date	Update		8/10/2015 12:00:00 AM	8/23/2016 12:00:00 AM	8/23/2016 11:00 AM
Details	Last Recertification Date	Update		8/7/2014 12:00:00 AM	8/10/2015 12:00:00 AM	8/10/2015 12:00 PM
Contacts	Authorizing Official	Update		Toebbe, Nelson E. CEO 7188697320	Brown, Richard L. Interim CEO 7188697320	8/7/2014 2:09 PM
Details	Last Recertification Date	Update		8/29/2013 12:00:00 AM	8/7/2014 12:00:00 AM	8/7/2014 2:09 PM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	8/29/2013 12:00:00 AM	8/29/2013 1:30 PM
Contacts	Authorizing Official	Update		KATZ, ARNOLD I. CFO 5163495237	Toebbe, Nelson E. CEO 7188697320	12/20/2012 4:12 PM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	5/22/2012 12:41 PM
Contacts	Primary Contact	Insert			TSANG, BELLA DIRECTOR OF PHARMACY 7188697180	11/24/2009 3:59 PM
Contacts	Authorizing Official	Insert			KATZ, ARNOLD I. CFO 5163495237	11/24/2009 3:59 PM
Details	Last Recertification Date	Insert				11/24/2009 3:59 PM
Details	Grant Number	Insert				11/24/2009 3:59 PM
Details	340B ID	Insert			DSH330395	11/24/2009 3:59 PM
Details	Is Authorizing Official EHB Data	Insert				11/24/2009 3:59 PM
Dates	Last Date That 340B Drugs Purchased	Insert				11/24/2009 3:59 PM
Details	Medicare Provider Number	Insert			330395	11/24/2009 3:59 PM
Details	Entity Name	Insert			EPISCOPAL HEALTH SERVICES INC	11/24/2009 3:59 PM
Details	Program Code	Insert			DSH	11/24/2009 3:59 PM
Details	Entity Subname	Insert			ST JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE	11/24/2009 3:59 PM
Dates	Participating Approval Date	Insert			12/15/2005 12:00:00 AM	11/24/2009 3:59 PM
Details	State	Insert			Active	11/24/2009 3:59 PM
Dates	Registration Date	Insert			12/15/2005 12:00:00 AM	11/24/2009 3:59 PM
Dates	Signed By Date	Insert			11/2/2005 12:00:00 AM	11/24/2009 3:59 PM
Dates	Start Date	Insert			12/15/2005 12:00:00 AM	11/24/2009 3:59 PM
Terminations	Termination Comments	Insert				11/24/2009 3:59 PM
Terminations	Termination Date	Insert				11/24/2009 3:59 PM
Terminations	Termination Effective Date	Insert				11/24/2009 3:59 PM
Terminations	Termination Reason	Insert				11/24/2009 3:59 PM
Details	Comments Public	Insert			11/24/09 UPDATED ENTITY NAME (WAS ST JOHN'S EPISCOPAL HOSPITAL - SOUTH SHORE)	11/24/2009 3:59 PM
Medicaid Billing	Medicaid: Is Primary	Insert			True	12/15/2005 12:58 PM
Medicaid Billing	Medicaid: Number	Insert			00729382	12/15/2005 12:58 PM
Medicaid Billing	Medicaid: State	Insert			NY	12/15/2005 12:58 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

Parent/Child

History