340B Drug Pricing Program Database
RAYSOL DRUGS INC
DSH330240 HARLEM HOSPITAL CENTER (NYCHHC) - information as of 5/4/2025 11:11:25 PM
Covered Entity Details
Entity Name
HARLEM HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330240
Entity Address
506 LENOX AVENUE
NEW YORK, NY 10037
Medicare Provider Number
330240
Participating Start Date
12/1/1992
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
RAYSOL DRUGS INC
Pharmacy Address
1870 LEXINGTON AVE
NEW YORK, NY 10029-2046
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
Raysol Drugs
Eli Kim, Point of Contact
(212) 348-2117
Signed By Date
4/16/2018
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