340B Drug Pricing Program Database
WALGREEN EASTERN CO., INC.
DSH330019 NY COMMUNITY HOSPITAL OF BROOKLYN - information as of 4/29/2025 2:14:41 AM
Covered Entity Details
Entity Name
NY COMMUNITY HOSPITAL OF BROOKLYN
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330019
Entity Address
2525 KINGS HIGHWAY
BROOKLYN, NY 11229
Medicare Provider Number
330019
Participating Start Date
1/1/2019
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS #19963
1300 WILLOW AVE
HOBOKEN, NJ 07030
Pharmacy Comments
Contract Details
Approval Date
7/10/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
LEONARDO TAMBURELLO, CFO
(718) 692-5382
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2018
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