340B Drug Pricing Program Database
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RWI11030 North Shore University Hospital (Active)
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Main Details
Name
North Shore University Hospital
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11030
Grant Number
H89HA00020
Additional Details
Current Program Status
Active
Registration Date
11/23/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/21/2011
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
2/11/2022 - 2/28/2027
Contacts
Authorizing Official
Northwell Health
Michele L Cusack, Executive Vice President
(516) 321-6058
Primary Contact
Northwell
Onisis Stefas, VP of Pharmacy Operations
(516) 719-5720
Addresses
Street Address
300 Community Drive
Manhasset, NY 11030
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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