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1875 LEXINGTON AVENUE CORP OF NEW YORK
DSH330214 NYU Langone Hospitals
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Covered Entity Details
Entity Name
NYU Langone Hospitals
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330214
Entity Address
550 FIRST AVENUE
NEW YORK, NY 10016
Medicare Provider Number
330214
Participating Start Date
1/1/2016
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
1875 LEXINGTON AVENUE CORP OF NEW YORK
Pharmacy Address
D/B/A QUICK RX
1875 LEXINGTON AVENUE
NEW YORK, NY 10035-1003
Pharmacy Comments
Contract Details
Approval Date
1/17/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/14/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Michael Burke, Corporate Chief Financial Officer
(212) 263-3092
Contract Pharmacy Representative
Quick Rx Pharmacy Group
Elan Katz, CEO
(917) 733-4301
Signed By Date
1/17/2018
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