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EXPRESS SCRIPTS
DSH330386 Garnet Health Medical Center - Catskills
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Covered Entity Details
Entity Name
Garnet Health Medical Center - Catskills
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330386
Entity Address
68 HARRIS BUSHVILLE ROAD
HARRIS, NY 12742-0000
Medicare Provider Number
330386
Participating Start Date
1/1/2007
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS
Pharmacy Address
ESI MAIL PHARMACY SERVICE INC
4600 N HANLEY RD
SAINT LOUIS, MO 63134
Pharmacy Comments
Contract Details
Approval Date
4/5/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jonathan David Schiller, Chief Executive Officer
(845) 794-3300 Ext: 2100
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/5/2022
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