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SREEPATHI PHARMACY INC
DSH330014A JAMAICA HOSPITAL MEDICAL CENTER
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Covered Entity Details
Entity Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
THE JAMAICA HOSPITAL WOMEN'S HEALTH CENTER
Type
Disproportionate Share Hospital
340B ID
DSH330014A
Entity Address
133-03 JAMAICA AVENUE
RICHMOND HILLS, NY 11418
Medicare Provider Number
330014
Outpatient Facility Provider Number
Participating Start Date
1/1/2007
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
SREEPATHI PHARMACY INC
Pharmacy Address
D/B/A METRO DRUGS
134-02 JAMAICA AVE
JAMAICA, NY 11418-2654
Pharmacy Comments
Contract Details
Approval Date
4/18/2013
Contract Begin Date
4/18/2013
Carve-In Effective Date
Contract Comments
04/18/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
10/14/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Contract Pharmacy Representative
Metro Drugs
Srinivas Kavuri, President
(718) 206-4653
Signed By Date
4/1/2013
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