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KCAID PHARMACY INC.
DSH330233 BROOKDALE HOSPITAL MEDICAL CENTER
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Covered Entity Details
Entity Name
BROOKDALE HOSPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330233
Entity Address
ONE BROOKDALE PLAZA
BROOKLYN, NY 11212
Medicare Provider Number
330233
Participating Start Date
10/1/2004
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
KCAID PHARMACY INC.
Pharmacy Address
D/B/A PREFERRED PHARMACY
1771 BROADWAY
BROOKLYN, NY 11207
Pharmacy Comments
Contract Details
Approval Date
11/9/2023
Contract Begin Date
11/9/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diana Sullivan, VP
(718) 240-7449
Contract Pharmacy Representative
Preferred Pharmacy
Ilona Kozlik, Pharmacist
(212) 722-0000
Signed By Date
11/9/2023
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