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TRUE NORTH HEALTH PHARMACY, INC.
DSH330261 PHELPS MEMORIAL HOSPITAL CENTER
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Covered Entity Details
Entity Name
PHELPS MEMORIAL HOSPITAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330261
Entity Address
701 NORTH BROADWAY
SLEEPY HOLLOW, NY 10591
Medicare Provider Number
330261
Participating Start Date
9/2/2008
Last Recertification Date
8/20/2024
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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