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SORKIN'S RX LTD
DSH330219 ERIE COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
ERIE COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330219
Entity Address
462 Grider Street
BUFFALO, NY 14215
Medicare Provider Number
330219
Participating Start Date
4/1/1996
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
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/28/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEPHEN GARY, CHIEF FINANCIAL OFFICER
(716) 898-6291
Contract Pharmacy Representative
Onco 360
Nick Chojnowski, 340B Account Manager
(716) 807-2903
Signed By Date
7/15/2019
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