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31ST & 3RD PHARMACY INC
DSH330009 BronxCare Health System
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Covered Entity Details
Entity Name
BronxCare Health System
Subdivision Name
Fulton Division
Type
Disproportionate Share Hospital
340B ID
DSH330009
Entity Address
1276 FULTON AVE.
BRONX, NY 10456
Medicare Provider Number
330009
Participating Start Date
7/1/1993
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
4/5/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VICTOR DEMARCO, CFO
(718) 901-8600
Contract Pharmacy Representative
Paramount / Island Care Specialty Pharmacy
Al DosSantos, Founding Principal
(516) 322-3216
Signed By Date
4/5/2016
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