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MT CARMEL PHARMACY INC
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
MT CARMEL PHARMACY INC
Pharmacy Address
705 E 187TH ST
BRONX, NY 10458-6803
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ruth E. Cassidy, Senior Vice President of Clinical Support Services and Chief Pharmacy Officer
(718) 960-6180
Contract Pharmacy Representative
Armand Paganelli, Owner
(718) 364-6100
Signed By Date
7/14/2015
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