Contract Pharmacy Details

SORKIN'S RX LTD
DSH420018 PRISMA HEALTH RICHLAND HOSPITAL

Covered Entity Details

Entity Name

PRISMA HEALTH RICHLAND HOSPITAL

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH420018

Entity Address

5 Richland Medical Park Drive
COLUMBIA, SC 29203

Medicare Provider Number

420018

Participating Start Date

8/1/1993

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

7/19/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Robert Haarbauer Cofield, Chief Executive Officer
(803) 434-3750

Contract Pharmacy Representative

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

Signed By Date

7/19/2021

340B Drug Pricing Program Database