Contract Pharmacy Details

STAT RX PHARMACY, INC.
DSH330199 METROPOLITAN HOSPITAL CENTER (NYCHHC)

Covered Entity Details

Entity Name

METROPOLITAN HOSPITAL CENTER (NYCHHC)

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH330199

Entity Address

1901 FIRST AVE.
NEW YORK, NY 10029

Medicare Provider Number

330199

Participating Start Date

7/1/1993

Last Recertification Date

9/3/2024

Pharmacy Details

Pharmacy Name

STAT RX PHARMACY, INC.

Pharmacy Address

235 EAST 167TH STREET
BRONX, NY 10456

Pharmacy Comments

Contract Details

Approval Date

1/16/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Paul Albertson, Vice President
(212) 748-2256

Contract Pharmacy Representative

Stat Rx
Oleg Aronov, CEO
(917) 273-5243

Signed By Date

1/16/2018

340B Drug Pricing Program Database