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TRUE NORTH HEALTH PHARMACY, INC
DSH330080 LINCOLN MEDICAL & MENTAL HEALTH CENTER (NYCHHC)
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Covered Entity Details
Entity Name
LINCOLN MEDICAL & MENTAL HEALTH CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330080
Entity Address
234 EAST 149TH ST
BRONX, NY 10451
Medicare Provider Number
330080
Participating Start Date
12/1/1992
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
TRUE NORTH HEALTH PHARMACY, INC
Pharmacy Address
DBA: VIVO HEALTH PHARMACY AT CFAM
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
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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