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PHARMACY WORLD INC
DSH330014C JAMAICA HOSPITAL MEDICAL CENTER
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Covered Entity Details
Entity Name
JAMAICA HOSPITAL MEDICAL CENTER
Subdivision Name
MEDISYS FAMILY CARE CENTER (HOLLIS)
Type
Disproportionate Share Hospital
340B ID
DSH330014C
Entity Address
188-03 Jamaica Avenue
HOLLIS, NY 11423
Medicare Provider Number
330014
Outpatient Facility Provider Number
Participating Start Date
9/1/2008
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
PHARMACY WORLD INC
Pharmacy Address
200-11 HOLLIS AVE
SAINT ALBANS, NY 11412
Pharmacy Comments
Contract Details
Approval Date
4/8/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/14/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MOUNIR F. DOSS, EXECUTIVE VP & CFO
(718) 206-6291
Contract Pharmacy Representative
Alla Abigail Alayeva, Supervising Pharmacist
(718) 217-8230
Signed By Date
4/8/2014
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