340B Drug Pricing Program Database

Pharmacy Name

NORTH SHORE UNIVERSITY HOSPITAL

Pharmacy Address

DBA VIVO HEALTH PHARMACY AT MANHASSET
300 COMMUNITY DRIVE
MANHASSET, NY 11030

Pharmacy Comments

Approval Date

4/4/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

4/1/2024

Contract Comments

Covered Entity Signing Official

Michele L Cusack, Executive Vice President
(516) 321-6058

Contract Pharmacy Representative

Northwell Health
Ashley Galla, AVP
(718) 747-4915

Signed By Date

4/4/2023