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AMERITA OF NEW YORK, LLC
DSH330056 THE BROOKLYN HOSPITAL CENTER
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Covered Entity Details
Entity Name
THE BROOKLYN HOSPITAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330056
Entity Address
121 DEKALB AVE
BROOKLYN, NY 11201
Medicare Provider Number
330056
Participating Start Date
4/1/2005
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
AMERITA OF NEW YORK, LLC
Pharmacy Address
D/B/A AMERITA
75 NASSAU TERMINAL RD
STE 100
NEW HYDE PARK, NY 11040-4997
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Donald P. Minarcik, VP Revenue Enhancement
(718) 488-3775
Contract Pharmacy Representative
Home Solutions dba Amerita, Inc
Daniel VanValkenburg, Director, 340B Program
(773) 229-9300
Signed By Date
10/14/2020
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