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AMERICARE PHARMACEUTICAL SERVICES INC
DSH330214 NYU Langone Hospitals
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Covered Entity Details
Entity Name
NYU Langone Hospitals
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330214
Entity Address
550 FIRST AVENUE
NEW YORK, NY 10016
Medicare Provider Number
330214
Participating Start Date
1/1/2016
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
AMERICARE PHARMACEUTICAL SERVICES INC
Pharmacy Address
317 NASSAU BLVD
C/O PHARMACY
GARDEN CITY SOUTH, NY 11530
Pharmacy Comments
Contract Details
Approval Date
4/8/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/24/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daniel J Widawsky, Chief Financial Officer
(212) 263-3092
Contract Pharmacy Representative
AMERICARE PHARMACEUTICAL SERVICES INC
Alfred Corrado, Secretary
(516) 292-7948
Signed By Date
4/8/2022
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