Contract Pharmacy Details

SORKIN'S RX LTD
DSH330080 LINCOLN MEDICAL & MENTAL HEALTH CENTER (NYCHHC)

Covered Entity Details

Entity Name

LINCOLN MEDICAL & MENTAL HEALTH CENTER (NYCHHC)

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH330080

Entity Address

234 EAST 149TH ST
BRONX, NY 10451

Medicare Provider Number

330080

Participating Start Date

12/1/1992

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

Contract Termination Date
Termination Reason

10/10/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Paul Albertson, Vice President
(212) 748-2256

Contract Pharmacy Representative

Onco360 Oncology Pharmacy
Jim Bozora, VP of 340B Oncology Sales
(702) 281-5985

Signed By Date

7/17/2018

340B Drug Pricing Program Database