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COMMCARE PHARMACY-FTL, LLC
DSH310027 TRINITAS REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
TRINITAS REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310027
Entity Address
225 WILLIAMSON ST
ELIZABETH, NJ 07202
Medicare Provider Number
310027
Participating Start Date
1/1/2005
Last Recertification Date
9/1/2024
Pharmacy Details
Pharmacy Name
COMMCARE PHARMACY-FTL, LLC
Pharmacy Address
855 SW 78TH AVE STE C100
PLANTATION, FL 33324-3223
Pharmacy Comments
Contract Details
Approval Date
1/8/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/6/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nancy DiLiegro, Vice President of Clinical Operations and Physician Services, Chief Clinical Officer
(908) 994-5226
Contract Pharmacy Representative
Commcare
Bob Raffalo, VP Specialty Pharmacy Operations
(954) 284-2384
Signed By Date
1/8/2019
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