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EPISCOPOS PHARMACY
DSH310092 CAPITAL HEALTH SYSTEM - FULD
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Covered Entity Details
Entity Name
CAPITAL HEALTH SYSTEM - FULD
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310092
Entity Address
750 BRUNSWICK AVENUE
TRENTON, NJ 08638
Medicare Provider Number
310092
Participating Start Date
10/1/2012
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
EPISCOPOS PHARMACY
Pharmacy Address
1125 CHAMBERS ST
TRENTON, NJ 08610-5801
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/10/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shane Fleming, CFO
(609) 394-6029
Contract Pharmacy Representative
Episcopo's Pharmacy
Jay Daggumati, Pharmacist
(609) 393-3017
Signed By Date
1/14/2014
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