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CVS ALBANY, L.L.C.
DSH330024A THE MOUNT SINAI HOSPITAL
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Covered Entity Details
Entity Name
THE MOUNT SINAI HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330024A
Entity Address
25-10 30TH AVENUE
LONG ISLAND CITY, NY 11102
Medicare Provider Number
330024
Outpatient Facility Provider Number
Participating Start Date
7/1/2006
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 3146
30-97 STEINWAY ST.
ASTORIA, NY 11103
Pharmacy Comments
Contract Details
Approval Date
1/21/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/3/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SALVATORE MORELLO, DIRECTOR OF FINANCE
(718) 267-4203
Contract Pharmacy Representative
CVS Caremark
JACKLYN PARFITT, MANAGER, PAYER RELATIONS
(401) 770-6467
Signed By Date
1/21/2015
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