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SORKIN'S RX LTD
DSH250100 BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE
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Covered Entity Details
Entity Name
BAPTIST MEMORIAL HOSPITAL-GOLDEN TRIANGLE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250100
Entity Address
2520 5TH STREET N
COLUMBUS, MS 39705-2008
Medicare Provider Number
250100
Participating Start Date
9/2/2008
Last Recertification Date
8/26/2024
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
7/26/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
CareMed Specialty Pharmacy
Nina Shamayeva, Director of Pharmacy
(887) 227-3405
Signed By Date
7/26/2023
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