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MMC PHARMACY INC
DSH330194 MAIMONIDES MEDICAL CENTER
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Covered Entity Details
Entity Name
MAIMONIDES MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330194
Entity Address
4802 TENTH AVE.
BROOKLYN, NY 11219
Medicare Provider Number
330194
Participating Start Date
10/1/2004
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
MMC PHARMACY INC
Pharmacy Address
948 48TH ST
BROOKLYN, NY 11219-2918
Pharmacy Comments
Contract Details
Approval Date
10/24/2005
Contract Begin Date
10/24/2005
Carve-In Effective Date
1/1/2024
Contract Comments
5/6/08 ADMIN CORRECTION 340B ID # CHANGED (WAS DSH11219)
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/13/2005
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