340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AN-NOOR PHARMACY INC
DSH330014A JAMAICA HOSPITAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
THE JAMAICA HOSPITAL WOMEN'S HEALTH CENTER
Type
Disproportionate Share Hospital
340B ID
DSH330014A
Entity Address
133-03 JAMAICA AVENUE
RICHMOND HILLS, NY 11418
Medicare Provider Number
330014
Outpatient Facility Provider Number
Participating Start Date
1/1/2007
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
AN-NOOR PHARMACY INC
Pharmacy Address
35 101ST AVE
BROOKLYN, NY 11208
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/12/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Contract Pharmacy Representative
Salaam Pharmacy
Mujjahid Huq, Owner
(718) 484-8157
Signed By Date
1/11/2019
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