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K & K RX SERVICES, LP
DSH390142 ALBERT EINSTEIN MEDICAL CENTER
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Covered Entity Details
Entity Name
ALBERT EINSTEIN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390142
Entity Address
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141
Medicare Provider Number
390142
Participating Start Date
1/1/2005
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
K & K RX SERVICES, LP
Pharmacy Address
BIOMATRIX SPECIALTY PHARMACY PA
3070 MCCANN FARM DR STE 101
GARNET VALLEY, PA 19060
Pharmacy Comments
Contract Details
Approval Date
4/10/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GERARD BLANEY, CHIEF FINANCIAL OFFICER
(215) 456-6020
Contract Pharmacy Representative
Elwyn Specialty Care
Nicholas Karalis, Owner
(866) 317-0672 Ext: 206
Signed By Date
4/10/2015
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