340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HMB PHARMACY MANAGEMENT LLC
DSH330059E MONTEFIORE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MONTEFIORE MEDICAL CENTER
Subdivision Name
WEST FARMS FAMILY PRACTICE CENTER
Type
Disproportionate Share Hospital
340B ID
DSH330059E
Entity Address
1055 EAST TREMONT AVE
BRONX, NY 10460
Medicare Provider Number
330059
Outpatient Facility Provider Number
Participating Start Date
4/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
HMB PHARMACY MANAGEMENT LLC
Pharmacy Address
DBA METCARE RX#2
1515 BLONDELL AVE
BRONX, NY 10461
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Colleen M. Blye, Executive Vice President-CFO
(718) 920-7602
Contract Pharmacy Representative
HMB Pharmacy
RAJ SHAH, President of HMB
(732) 318-9628
Signed By Date
1/17/2017
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