Contract Pharmacy Details

SORKIN'S RX LTD
DSH320002 ST. VINCENT HOSPITAL

Covered Entity Details

Entity Name

ST. VINCENT HOSPITAL

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH320002

Entity Address

455 ST. MICHAELS DRIVE
SANTA FE, NM 87505

Medicare Provider Number

320002

Participating Start Date

1/1/2014

Last Recertification Date

8/23/2024

Pharmacy Details

Pharmacy Name

SORKIN'S RX LTD

Pharmacy Address

D/B/A CAREMED PHARMACEUTICAL SERVICES
1985 MARCUS AVE STE 130
NEW HYDE PARK, NY 11042-2024

Pharmacy Comments

Contract Details

Approval Date

4/12/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Patrick B. Carrier, President & CEO
(505) 913-5202

Contract Pharmacy Representative

SORKIN'S RX LTD
Bincy Varghese, Director of Pharmacy
(877) 227-3405 Ext: 9013

Signed By Date

4/12/2018

340B Drug Pricing Program Database