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1413 RX NY LLC
DSH330396 WOODHULL HOSPITAL CENTER
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Covered Entity Details
Entity Name
WOODHULL HOSPITAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330396
Entity Address
760 BROADWAY
MAIN ENTRANCE: 720 FLUSHING AV
BROOKLYN, NY 11206
Medicare Provider Number
330396
Participating Start Date
12/1/1992
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
1413 RX NY LLC
Pharmacy Address
DBA: QUICK RX
1456 FULTON ST
BROOKLYN, NY 11216
Pharmacy Comments
10/17/2012 address change (was 1413 FULTON STREET)
Contract Details
Approval Date
6/25/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
Branac Inc.
Elena Ivanova, COO
(212) 249-8202
Signed By Date
6/25/2020
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