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BEST AID COMMUNITY PHARMACY LLC
DSH330399 ST BARNABAS HOSPITAL
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Covered Entity Details
Entity Name
ST BARNABAS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330399
Entity Address
4422 THIRD AVENUE
BRONX, NY 10457
Medicare Provider Number
330399
Participating Start Date
1/1/2005
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
BEST AID COMMUNITY PHARMACY LLC
Pharmacy Address
BEST AID PHARMACY
563 EAST TREMONT AVENUE
BRONX, NY 10457
Pharmacy Comments
Contract Details
Approval Date
7/2/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/28/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Todd Gorlewski, CFO
(718) 960-3867
Contract Pharmacy Representative
Best aid pharmacy
Paresh Gandhi, Main Contact
(718) 466-4700
Signed By Date
7/2/2013
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