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TRINITY HOMECARE, L.L.C.
DSH330193 FLUSHING HOSPITAL MEDICAL CENTER
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Covered Entity Details
Entity Name
FLUSHING HOSPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330193
Entity Address
4500 PARSONS BLVD
PARSONS BLVD AND 45TH AVENUE
FLUSHING, NY 11355
Medicare Provider Number
330193
Participating Start Date
10/1/2004
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
TRINITY HOMECARE, L.L.C.
Pharmacy Address
OPTION CARE
4805 METROPOLITAN AVE STE 3-02
RIDGEWOOD, NY 11385
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
1/15/2020
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