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MY CHS RX INC.
RRC330286-00 GOOD SAMARITAN HOSPITAL
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Covered Entity Details
Entity Name
GOOD SAMARITAN HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330286-00
Entity Address
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Medicare Provider Number
330286
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
MY CHS RX INC.
Pharmacy Address
4295 HEMPSTEAD TPKE STE 14
BETHPAGE, NY 11714
Pharmacy Comments
Contract Details
Approval Date
2/28/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen Trapani, SVP Finance
(631) 376-3583
Contract Pharmacy Representative
chs
nasser saad, avp pharmacy
(516) 705-2910
Signed By Date
1/9/2025
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