Contract Pharmacy Details

SORKIN'S RX LTD
DSH420086 PRISMA HEALTH BAPTIST HOSPITAL

Covered Entity Details

Entity Name

PRISMA HEALTH BAPTIST HOSPITAL

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH420086

Entity Address

1333 Taylor Street
COLUMBIA, SC 29202

Medicare Provider Number

420086

Participating Start Date

7/1/2006

Last Recertification Date

8/21/2024

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

7/13/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Michael Bundy, Chief Executive Officer
(803) 296-5782

Contract Pharmacy Representative

Sorkins RX LTD
bincy varghese, Director of Pharmacy
(877) 662-6633

Signed By Date

7/13/2021

340B Drug Pricing Program Database