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ACRO PHARMACEUTICAL SERVICES, LLC
DSH330056 THE BROOKLYN HOSPITAL CENTER
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Covered Entity Details
Entity Name
THE BROOKLYN HOSPITAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330056
Entity Address
121 DEKALB AVE
BROOKLYN, NY 11201
Medicare Provider Number
330056
Participating Start Date
4/1/2005
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
ACRO PHARMACEUTICAL SERVICES, LLC
Pharmacy Address
7891 STAGE HILLS BLVD STE 111
BARTLETT, TN 38133
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/3/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Patrick Semenza, VP and Chief Financial Officer
(718) 488-3715
Contract Pharmacy Representative
Commcare Pharmacy
Avani Patel, Client Relations Manager
(954) 284-2358
Signed By Date
4/17/2017
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