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VIRTUA PHARMACY - BERLIN
DSH310029 Virtua Our Lady Of Lourdes Hospital
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Covered Entity Details
Entity Name
Virtua Our Lady Of Lourdes Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310029
Entity Address
1600 HADDON AVENUE
CAMDEN, NJ 08103
Medicare Provider Number
310029
Participating Start Date
7/1/2009
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
VIRTUA PHARMACY - BERLIN
Pharmacy Address
100 TOWNSEND AVE.
BERLIN, NJ 08009
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Nessel, President
(856) 886-5372
Contract Pharmacy Representative
Virtua Health
Michael Fiore, Manager of Specialty PharmacyServices
(856) 322-3083
Signed By Date
10/17/2022
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