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SORKIN'S RX LTD
DSH330250 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
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Covered Entity Details
Entity Name
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330250
Entity Address
75 BEEKMAN STREET
PLATTSBURGH, NY 12901
Medicare Provider Number
330250
Participating Start Date
6/3/2019
Last Recertification Date
8/26/2024
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
5/31/2019
Contract Begin Date
6/3/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/18/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michelle M LeBeau, President/Chief Operations officer
(518) 562-7055
Contract Pharmacy Representative
CareMed Specialty Pharmacy
Salvatore Spatola, Inventory Manager
(877) 227-3405 Ext: 9031
Signed By Date
4/14/2019
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