340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CASTLETON PHARMACY CORP.
DSH330024 THE MOUNT SINAI HOSPITAL
Print
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
CASTLETON PHARMACY CORP.
Pharmacy Address
DBA: ENEXIA SPECIALTY
252 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1749
Pharmacy Comments
Contract Details
Approval Date
7/31/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/23/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patricia Lamb, Chief, Ancillary Services
(212) 241-2095
Contract Pharmacy Representative
Castleton Pharmacy Corp.
Bernard Glezerman, COO
(718) 556-0942
Signed By Date
7/31/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session