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WALGREEN EASTERN CO., INC.
DSH330027 NASSAU HEALTH CARE CORPORATION
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Covered Entity Details
Entity Name
NASSAU HEALTH CARE CORPORATION
Subdivision Name
Nassau University Medical Center
Type
Disproportionate Share Hospital
340B ID
DSH330027
Entity Address
2201 HEMPSTEAD TURNPIKE
EAST MEADOW, NY 11554
Medicare Provider Number
330027
Participating Start Date
1/1/2004
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS
603 UNIONDALE AVE.
UNIONDALE, NY 11553-2637
Pharmacy Comments
Contract Details
Approval Date
1/25/2013
Contract Begin Date
1/25/2013
Carve-In Effective Date
Contract Comments
01/25/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contacts
Covered Entity Signing Official
RICHARD PERROTTI, Senior VP FINANCE
(516) 572-6713
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2013
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