340B Drug Pricing Program Database

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AETNA SPECIALTY PHARMACY, LLC
DSH100034 MOUNT SINAI MEDICAL CENTER

Covered Entity Details

MOUNT SINAI MEDICAL CENTER OF FLORIDA INC.
Disproportionate Share Hospital
DSH100034
4300 Alton Road
MIAMI BEACH, FL 33140
100034
4/1/2007
9/3/2024


Pharmacy Details

503 SUNPORT LN
ORLANDO, FL 32809-7874

Contract Details

6/10/2019
6/10/2019

3/6/2020
Business decision by covered entity and/or pharmacy


Contacts


ANGEL PALLIN, SVP OF OPERATIONS
(305) 674-2520



CVS
Kimberly Pirtle, Senior Professional Pharmacist Program Manager
(423) 680-1936
6/10/2019