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KINGSBRIDGE RX PHARMACY INC
DSH330240 HARLEM HOSPITAL CENTER (NYCHHC)
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Covered Entity Details
Entity Name
HARLEM HOSPITAL CENTER (NYCHHC)
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330240
Entity Address
506 LENOX AVENUE
NEW YORK, NY 10037
Medicare Provider Number
330240
Participating Start Date
12/1/1992
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
KINGSBRIDGE RX PHARMACY INC
Pharmacy Address
DBA: ABC DRUGS
2095 MADISON AVE
NEW YORK, NY 10037-3449
Pharmacy Comments
Contract Details
Approval Date
9/27/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
ABC Drugs
Abdul Rehman, Manager
(212) 491-2501
Signed By Date
9/27/2019
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