340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORTH SHORE UNIVERSITY HOSPITAL
RWI11740 Northwell Family Health Center at Huntington
Print
Covered Entity Details
Entity Name
Northwell Family Health Center at Huntington
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11740
Entity Address
15-72 New York Avenue
Huntington Station, NY 11746
Grant Number
H89HA00020
Participating Start Date
7/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
NORTH SHORE UNIVERSITY HOSPITAL
Pharmacy Address
DBA VIVO HEALTH PHARMACY AT MANHASSET
300 COMMUNITY DRIVE
MANHASSET, NY 11030
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele L Cusack, Executive Vice President
(516) 321-6058
Contract Pharmacy Representative
Vivo Health
Scott Jacobson, COO
(508) 254-9792
Signed By Date
7/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session