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DUANE READE
DSH330199 METROPOLITAN HOSPITAL CENTER (NYCHHC)
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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
941 SOUTHERN BLVD #943
BRONX, NY 10459
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
10/3/2019
Pharmacy closed
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
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