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MY CHS RX INC
DSH330259 MERCY MEDICAL CENTER
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Covered Entity Details
Entity Name
MERCY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330259
Entity Address
1000 NORTH VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Medicare Provider Number
330259
Participating Start Date
1/1/2016
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
MY CHS RX INC
Pharmacy Address
1000 N VILLAGE AVE # K700
ROCKVILLE CENTRE, NY 11570-1000
Pharmacy Comments
Contract Details
Approval Date
4/7/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Morahan, VP- Finance
(516) 705-1317
Contract Pharmacy Representative
Mercy Medical Center
Mark Macchia, Director of Pharmacy
(516) 705-1052
Signed By Date
4/7/2020
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