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NUPTAM SERVICES INC
DSH330009 BronxCare Health System
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Covered Entity Details
Entity Name
BronxCare Health System
Subdivision Name
Fulton Division
Type
Disproportionate Share Hospital
340B ID
DSH330009
Entity Address
1276 FULTON AVE.
BRONX, NY 10456
Medicare Provider Number
330009
Participating Start Date
7/1/1993
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
NUPTAM SERVICES INC
Pharmacy Address
DBA: FAMILY PHARMACY AND SURGICAL SUPPLY
2754 3RD AVE
BRONX, NY 10455-4036
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VICTOR DEMARCO, CFO
(718) 901-8600
Contract Pharmacy Representative
NUPTAM SERVICES INC
UNEEK SHARMA, PRESIDENT
(718) 401-3900
Signed By Date
10/15/2020
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