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SALEM PHARMACY & SURGICALS
DSH310091 MEMORIAL HOSPITAL OF SALEM COUNTY
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Covered Entity Details
Entity Name
MEMORIAL HOSPITAL OF SALEM COUNTY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310091
Entity Address
310 WOODSTOWN ROAD
SALEM, NJ 08079
Medicare Provider Number
310091
Participating Start Date
10/1/2020
Last Recertification Date
9/19/2022
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
SALEM PHARMACY & SURGICALS
Pharmacy Address
310 SALEM WOODSTOWN ROAD
SALEM, NJ 08079
Pharmacy Comments
Contract Details
Approval Date
1/6/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
vincent riccitelli, CFO
(609) 856-6077
Contract Pharmacy Representative
shree pharmacy llc
Jamil Pariikh, Pharmacist
(856) 878-6900
Signed By Date
1/6/2022
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