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LIFE INFUSIONS CORP.
DSH330009 BronxCare Health System
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Covered Entity Details
Entity Name
BronxCare Health System
Subdivision Name
Fulton Division
Type
Disproportionate Share Hospital
340B ID
DSH330009
Entity Address
1276 FULTON AVE.
BRONX, NY 10456
Medicare Provider Number
330009
Participating Start Date
7/1/1993
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
LIFE INFUSIONS CORP.
Pharmacy Address
1500 ASTOR AVE FL 2B
SUITE 2B
BRONX, NY 10469-5900
Pharmacy Comments
Contract Details
Approval Date
6/12/2020
Contract Begin Date
6/12/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VICTOR DEMARCO, CFO
(718) 901-8600
Contract Pharmacy Representative
Life Infusions Corp.
Emanuel Lichtik, Aministrator of Operations and Logistics
(718) 288-3348
Signed By Date
6/12/2020
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