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RITE AID OF NEW YORK, INC.
DSH330006 ST. JOSEPHS MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. JOSEPHS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330006
Entity Address
127 South Broadway
YONKERS, NY 10701
Medicare Provider Number
330006
Participating Start Date
7/1/2022
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #2541
420 SOUTH BROADWAY
YONKERS, NY 10705
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/13/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
MICHAEL J SPICER, CEO
(914) 378-7485
Contract Pharmacy Representative
Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652
Signed By Date
7/15/2022
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