340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
27 AUDUBON PHARMACY CORP.
DSH330101BX NEW YORK-PRESBYTERIAN HOSPITAL
Print
Covered Entity Details
Entity Name
NEW YORK-PRESBYTERIAN HOSPITAL
Subdivision Name
Comprehensive Health Program
Type
Disproportionate Share Hospital
340B ID
DSH330101BX
Entity Address
180 Ft. Washington Avenue
HP, 6th Floor and 3rd Floor
VC-3
New York, NY 10032
Medicare Provider Number
330101
Outpatient Facility Provider Number
Participating Start Date
7/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
27 AUDUBON PHARMACY CORP.
Pharmacy Address
D/B/A QUICK RX
27 AUDUBON AVENUE
NEW YORK, NY 10032
Pharmacy Comments
Contract Details
Approval Date
11/30/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
1/1/2018
Contract Comments
Contract Termination Date
Termination Reason
12/18/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William Farrell, SVP, Finance
(212) 297-4358
Contract Pharmacy Representative
Quick Rx Pharmacy Group
Elan Katz, CEO
(917) 733-4301
Signed By Date
11/30/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session