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CVS PHARMACY, INC.
DSH310021 St Francis Medical Center
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Covered Entity Details
Entity Name
St Francis Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310021
Entity Address
601 Hamilton Ave
Trenton, NJ 08629
Medicare Provider Number
310021
Participating Start Date
4/1/2014
Last Recertification Date
8/25/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
3 BERRY DRIVE
LUMBERTON, NJ 08048
Pharmacy Comments
Contract Details
Approval Date
10/29/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Kelly, VP Finance/CFO
(609) 599-5119 Ext: 5119
Contract Pharmacy Representative
CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241
Signed By Date
10/29/2014
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