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SORKIN'S RX LTD
DSH140052 OSF SAINT ANTHONY'S HEALTH CENTER
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Covered Entity Details
Entity Name
OSF SAINT ANTHONY'S HEALTH CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140052
Entity Address
1 SAINT ANTHONYS WAY
ALTON, IL 62002
Medicare Provider Number
140052
Participating Start Date
3/15/2022
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
SORKIN'S RX LTD
Pharmacy Address
D/B/A CAREMED PHARMACEUTICAL SERVICES
1985 MARCUS AVE STE 130
NEW HYDE PARK, NY 11042-2024
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
3/15/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/8/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Diane L. McGrew, President
(309) 655-2850
Contract Pharmacy Representative
SORKIN'S RX LTD
Bincy Varghese, Director of Pharmacy
(877) 227-3405 Ext: 9013
Signed By Date
7/15/2020
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