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TRUE NORTH HEALTH PHARMACY, INC.
RRC330106-00 NORTH SHORE UNIVERSITY HOSPITAL
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Covered Entity Details
Entity Name
NORTH SHORE UNIVERSITY HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330106-00
Entity Address
300 COMMUNITY DRIVE
MANHASSET, NY 11030
Medicare Provider Number
330106
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
TRUE NORTH HEALTH PHARMACY, INC.
Pharmacy Address
DBA: VIVO HEALTH PHARMACY AT REGO PARK
95-25 QUEENS BLVD.
SUITE GFL03
REGO PARK, NY 11374
Pharmacy Comments
Contract Details
Approval Date
1/8/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele L Cusack, Executive Vice President
(516) 321-6058
Contract Pharmacy Representative
Vivo Health
Scott Jacobson, COO
(508) 254-9792
Signed By Date
1/8/2025
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