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ARROW PHARMACY INC
DSH330024 THE MOUNT SINAI HOSPITAL
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Covered Entity Details
Entity Name
THE MOUNT SINAI HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330024
Entity Address
ONE GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029
Medicare Provider Number
330024
Participating Start Date
7/1/2004
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ARROW PHARMACY INC
Pharmacy Address
883 NINTH AVE
NEW YORK, NY 10019-1704
Pharmacy Comments
Contract Details
Approval Date
4/23/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/2/2024
Ownership change
Contacts
Covered Entity Signing Official
Patricia Lamb, Chief, Ancillary Services
(212) 241-2095
Contract Pharmacy Representative
ARROW PHARMACY
Michael Morelli, President
(212) 245-8469
Signed By Date
4/23/2018
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