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STJ RX INC
DSH330233 BROOKDALE HOSPITAL MEDICAL CENTER
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Covered Entity Details
Entity Name
BROOKDALE HOSPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330233
Entity Address
ONE BROOKDALE PLAZA
BROOKLYN, NY 11212
Medicare Provider Number
330233
Participating Start Date
10/1/2004
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
STJ RX INC
Pharmacy Address
DBA: THRIFTWAY PHARMACY
720 CLASSON AVE
BROOKLYN, NY 11238-4231
Pharmacy Comments
Contract Details
Approval Date
1/5/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert A. Palermo, CFO
(718) 240-8515
Contract Pharmacy Representative
THRIFTWAY PHARMACY
ALEX PERCHUK, DIRECTOR OF PHARMACY
(718) 339-3500
Signed By Date
1/5/2021
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