340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORTH SHORE UNIVERSITY HOSPITAL
DSH330353 FOREST HILLS HOSPITAL
Print
Covered Entity Details
Entity Name
FOREST HILLS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330353
Entity Address
102 - 01 66TH ROAD
FOREST HILLS, NY 11375
Medicare Provider Number
330353
Participating Start Date
7/1/2007
Last Recertification Date
8/24/2015
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
NORTH SHORE UNIVERSITY HOSPITAL
Pharmacy Address
DBA VIVO HEALTH PHARMACY AT MANHASSET
300 COMMUNITY DRIVE
MANHASSET, NY 11030
Pharmacy Comments
Contract Details
Approval Date
11/25/2011
Contract Begin Date
12/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/15/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Solazzo, Executive Vice President & COO
(516) 465-8021
Contract Pharmacy Representative
Northwell Health
ROBERT S. SHAPIRO, SR. VP & CFO
(516) 465-8162
Signed By Date
11/15/2011
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