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CVS ALBANY, L.L.C.
DSH330246 ST. CHARLES HOSPITAL
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Covered Entity Details
Entity Name
ST. CHARLES HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330246
Entity Address
200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777
Medicare Provider Number
330246
Participating Start Date
1/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02698
4331 NESCONSET HWY.
PORT JEFFERSON STN, NY 11776
Pharmacy Comments
Contract Details
Approval Date
4/4/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald Weingartner, VP
(631) 474-6600
Contract Pharmacy Representative
CVS
Christian Reid, 340B Program Director, CVS Pharmacy
(401) 770-2118
Signed By Date
4/4/2016
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