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FLATBUSH EXPRESS PHARMACY INC
DSH330202A KINGS COUNTY HOSPITAL CENTER (NYCHHC)
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Covered Entity Details
Entity Name
KINGS COUNTY HOSPITAL CENTER (NYCHHC)
Subdivision Name
Bedford Stuyvesant Alchoholism Treatment Ctr - Kings (NYCHHC)
Type
Disproportionate Share Hospital
340B ID
DSH330202A
Entity Address
722 Myrtle Avenue
Brooklyn, NY 11205
Medicare Provider Number
330202
Outpatient Facility Provider Number
Participating Start Date
4/1/2014
Last Recertification Date
8/28/2019
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
FLATBUSH EXPRESS PHARMACY INC
Pharmacy Address
862 FLATBUSH AVE
BROOKLYN, NY 11226-3102
Pharmacy Comments
Contract Details
Approval Date
10/3/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Albertson, Vice President
(212) 748-2256
Contract Pharmacy Representative
FLATBUSH EXPRESS PHARMACY
GENE MAZEPA, POINT OF CONTACT
(718) 282-4777
Signed By Date
10/3/2017
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