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LG DRUGS INC.
DSH330397 INTERFAITH MEDICAL CENTER
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Covered Entity Details
Entity Name
INTERFAITH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330397
Entity Address
1545 ATLANTIC AVENUE
BROOKLYN, NY 11213
Medicare Provider Number
330397
Participating Start Date
7/1/2005
Last Recertification Date
9/14/2020
Entity Termination Date
6/1/2021
Pharmacy Details
Pharmacy Name
LG DRUGS INC.
Pharmacy Address
DBA: GENA CARE PHARMACY
173 CHAUNCEY ST
GENA CARE PHARMACY
BROOKLYN, NY 11233-2154
Pharmacy Comments
Contract Details
Approval Date
4/26/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Charles Bove, COO
(718) 613-6465
Contract Pharmacy Representative
LG Drugs Inc
Ngozi Agbasionwe, Owner
(718) 484-7166
Signed By Date
4/26/2017
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