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DUANE READE
DSH330028 RICHMOND UNIVERSITY MEDICAL CENTER
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Covered Entity Details
Entity Name
RICHMOND UNIVERSITY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330028
Entity Address
355 BARD AVENUE
STATEN ISLAND, NY 10310
Medicare Provider Number
330028
Participating Start Date
11/17/2005
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
DUANE READE
Pharmacy Address
630 FOREST AVENUE
STATEN ISLAND, NY 10310
Pharmacy Comments
Contract Details
Approval Date
8/15/2006
Contract Begin Date
5/1/2007
Carve-In Effective Date
Contract Comments
10/20/2012 Contract terminated on 12/28/2006 and inactive untill 05/01/2007, orginal begin date 8/15/2006
Contract Termination Date
Termination Reason
3/3/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
WILLIAM G. BITHONEY, PHYSICIAN IN CHIEF
(718) 818-3005
Contract Pharmacy Representative
JERRY RAY, SR. VP PHARMACY
(212) 356-6731
Signed By Date
8/14/2006
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