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SORKIN'S RX LTD
CAH141325-00 OSF Saint Luke Medical Center
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Covered Entity Details
Entity Name
OSF Saint Luke Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141325-00
Entity Address
1051 WEST SOUTH STREET
KEWANEE, IL 61443
Medicare Provider Number
141325
Participating Start Date
1/1/2011
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
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/6/2022
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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