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BROOKDALERX, INC.
DSH330233 BROOKDALE HOSPITAL MEDICAL CENTER
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Covered Entity Details
Entity Name
BROOKDALE HOSPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330233
Entity Address
ONE BROOKDALE PLAZA
BROOKLYN, NY 11212
Medicare Provider Number
330233
Participating Start Date
10/1/2004
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
BROOKDALERX, INC.
Pharmacy Address
1275 LINDEN BLVD
ATTN: SUPERVISING PHARMACIST
BROOKLYN, NY 11212
Pharmacy Comments
Contract Details
Approval Date
4/22/2005
Contract Begin Date
4/22/2005
Carve-In Effective Date
7/1/2017
Contract Comments
5/6/08 ADMIN CORRECTION 340B ID # CHANGED (WAS DSH11212)
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/21/2005
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