Contract Pharmacy Details

ARROW PHARMACY INC
DSH330046 MOUNT SINAI WEST

Covered Entity Details

Entity Name

MOUNT SINAI WEST

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH330046

Entity Address

1000 TENTH AVENUE
NEW YORK, NY 10019

Medicare Provider Number

330046

Participating Start Date

7/1/2005

Last Recertification Date

8/12/2024

Pharmacy Details

Pharmacy Name

ARROW PHARMACY INC

Pharmacy Address

883 NINTH AVE
NEW YORK, NY 10019-1704

Pharmacy Comments

Contract Details

Approval Date

7/14/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/2/2024
Ownership change

Contacts

Covered Entity Signing Official

Michael Bruno, Sr. Vice President
(212) 523-7140

Contract Pharmacy Representative

ARROW PHARMACY
Michael Morelli, President
(212) 245-8469

Signed By Date

7/14/2016