340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MMC PHARMACY INC
DSH330194B MAIMONIDES MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MAIMONIDES MEDICAL CENTER
Subdivision Name
MAIMONIDES SLEEP DISORDER CLINIC
Type
Disproportionate Share Hospital
340B ID
DSH330194B
Entity Address
6405 7TH AVENUE
BROOKLYN, NY 11219
Medicare Provider Number
330194
Outpatient Facility Provider Number
Participating Start Date
7/1/2009
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
MMC PHARMACY INC
Pharmacy Address
948 48TH ST
BROOKLYN, NY 11219-2918
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
1/1/2024
Contract Comments
Contacts
Covered Entity Signing Official
John P Marshall, Chief Medical Officer
(718) 283-6028
Contract Pharmacy Representative
MMC Pharmacy
Neal Neumann, Director of Pharmacy and Compliance
(718) 283-8473
Signed By Date
10/9/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session