340B Drug Pricing Program Database
COMMUNITY MEDICAL PHARMACY
DSH330065 NIAGARA FALLS MEMORIAL MEDICAL CENTER - information as of 6/2/2025 8:57:18 AM
Covered Entity Details
Entity Name
NIAGARA FALLS MEMORIAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330065
Entity Address
621-10TH STREET
NIAGARA FALLS, NY 14302
Medicare Provider Number
330065
Participating Start Date
10/1/2006
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
COMMUNITY MEDICAL PHARMACY
Pharmacy Address
RWK II, INC.
918 MICHIGAN AVE
NIAGARA FALLS, NY 14305
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Wright, Senior Vice President/Finance
(716) 278-4399
Contract Pharmacy Representative
Wellness Park Pharmacy
Francine Kendzia, President, owner, operator
(716) 260-1918
Signed By Date
7/15/2020
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