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SORKIN'S RX LTD
RWII496841 Munson Medical Center
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Covered Entity Details
Entity Name
Munson Medical Center
Subdivision Name
Thomas Judd Care Center
Type
Ryan White Part B
340B ID
RWII496841
Entity Address
5041 N. Royal Drive
Suite 1
Traverse City, MI 49684
Grant Number
X07HA00044
Participating Start Date
10/1/2015
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
SORKIN'S RX LTD
Pharmacy Address
D/B/A CAREMED PHARMACEUTICAL SERVICES
1985 MARCUS AVE STE 130
NEW HYDE PARK, NY 11042-2024
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathleen M LaRaia, Vice President
(231) 392-8410
Contract Pharmacy Representative
CareMed Specialty Pharmacy
Nina Shamayeva, Director of Pharmacy
(887) 227-3405
Signed By Date
4/17/2023
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