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EXPRESS SCRIPTS PHARMACY, INC.
HV022690 NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
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Covered Entity Details
Entity Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
SYDENHAM HEALTH CARE NETWORK
Type
Ryan White Part C
340B ID
HV022690
Entity Address
264 W 118th St
NEW YORK, NY 10026
Grant Number
H76HA00034
Participating Start Date
12/1/1992
Last Recertification Date
2/8/2018
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS PHARMACY, INC.
Pharmacy Address
DBA EXPRESS SCRIPTS
2040 ROUTE 130 NORTH
BURLINGTON, NJ 08016
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
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
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
Accredo Health Group
Gene McCabe, 340B Sales Director
(615) 943-7500
Signed By Date
7/17/2018
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