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SORKIN'S RX LTD
DSH490001 NORTON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
NORTON COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH490001
Entity Address
100 15TH STREET N.W
NORTON, VA 24273
Medicare Provider Number
490001
Participating Start Date
4/1/2009
Last Recertification Date
9/10/2020
Entity Termination Date
4/1/2021
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
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
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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