340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TRUE NORTH HEALTH PHARMACY, INC.
DSH330160 STATEN ISLAND UNIVERSITY HOSPITAL
Print
Covered Entity Details
Entity Name
STATEN ISLAND UNIVERSITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330160
Entity Address
475 SEAVIEW AVE.
STATEN ISLAND, NY 10305
Medicare Provider Number
330160
Participating Start Date
7/1/2004
Last Recertification Date
8/19/2024
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session