340B Drug Pricing Program Database
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CVS ALBANY, L.L.C.
DSH330006 ST. JOSEPHS MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. JOSEPHS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330006
Entity Address
127 South Broadway
YONKERS, NY 10701
Medicare Provider Number
330006
Participating Start Date
7/1/2022
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 4539
25-43 PROSPECT ST.
YONKERS, NY 10701
Pharmacy Comments
Contract Details
Approval Date
10/3/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHAEL J SPICER, CEO
(914) 378-7485
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/3/2023
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