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SORKIN'S RX LTD
CAH491303-00 DICKENSON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
DICKENSON COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH491303-00
Entity Address
312 HOSPITAL DRIVE
CLINTWOOD, VA 24228-0000
Medicare Provider Number
491303
Participating Start Date
10/1/2017
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
SORKIN'S RX LTD
Pharmacy Address
D/B/A CAREMED PHARMACEUTICAL SERVICES
1985 MARCUS AVE STE 130
NEW HYDE PARK, NY 11042-2024
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane Hilton, VP/CFO - Market Operations
(423) 302-3467
Contract Pharmacy Representative
CareMed Specialty Pharmacy
Salvatore Spatola, Inventory Manager
(877) 227-3405 Ext: 9031
Signed By Date
7/17/2018
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