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CAREMARK, L.L.C.
RWI11030 North Shore University Hospital
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Covered Entity Details
Entity Name
North Shore University Hospital
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11030
Entity Address
300 Community Drive
Manhasset, NY 11030
Grant Number
H89HA00020
Participating Start Date
1/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
10/18/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele L Cusack, Executive Vice President
(516) 321-6058
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/18/2021
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