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SYNERGY RX EXPRESS PHARMACY
DSH080003 ST FRANCIS HOSPITAL, INC
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Covered Entity Details
Entity Name
ST FRANCIS HOSPITAL, INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH080003
Entity Address
701 NORTH CLAYTON STREET
WILMINGTON, DE 19805-0500
Medicare Provider Number
080003
Participating Start Date
10/1/2009
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SYNERGY RX EXPRESS PHARMACY
Pharmacy Address
18 PENN MART SHOPPING CENTER
NEW CASTLE, DE 19720-4207
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/9/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dale Szafran, Director of Financial Operations
(302) 421-4665
Contract Pharmacy Representative
Synergy Rx Express
Chenedum Amakwe, Director of Pharmacy
(302) 740-0037
Signed By Date
10/10/2018
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