Contract Pharmacy Details

DUANE READE
DSH330199 METROPOLITAN HOSPITAL CENTER (NYCHHC)

Covered Entity Details

Entity Name

METROPOLITAN HOSPITAL CENTER (NYCHHC)

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH330199

Entity Address

1901 FIRST AVE.
NEW YORK, NY 10029

Medicare Provider Number

330199

Participating Start Date

7/1/1993

Last Recertification Date

9/3/2024

Pharmacy Details

Pharmacy Name

DUANE READE

Pharmacy Address

1490 MADISON AVENUE
NEW YORK, NY 10029-4502

Pharmacy Comments

Contract Details

Approval Date

4/16/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/10/2025
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Antonio Martin, Ececutive Vice President & Chief Operating Officier
(212) 788-3479

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/16/2014

340B Drug Pricing Program Database