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TRUE NORTH HEALTH PHARMACY, INC.
DSH330127 JACOBI MEDICAL CENTER (NYCHHC)
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Covered Entity Details
Entity Name
JACOBI MEDICAL CENTER (NYCHHC)
Subdivision Name
FORMERLY BRONX MUNICIPAL HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH330127
Entity Address
1400 PELHAM PKWY SOUTH
BRONX, NY 10461
Medicare Provider Number
330127
Participating Start Date
12/1/1992
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
TRUE NORTH HEALTH PHARMACY, INC.
Pharmacy Address
DBA: VIVO HEALTH SPECIALTY PHARMACY
225 COMMUNITY DR STE 100
GREAT NECK, NY 11021-5506
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
Northwell
Onisis Stefas, VP of Pharmacy Operations
(516) 719-5720
Signed By Date
7/15/2019
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