340B Drug Pricing Program Database
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DSH330103 OLEAN GENERAL HOSPITAL (Active)
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Main Details
Name
OLEAN GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330103
Medicare Provider Number
330103
Additional Details
Current Program Status
Active
Registration Date
7/9/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/15/2019
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Olean General Hospital
Scott Jay Bonderoff, COO
(716) 375-6104
Primary Contact
Olean General Hospital
Victoria Nosowicz, Pharmacy Informatics & 340B Manager
(716) 375-6268
Addresses
Street Address
515 MAIN STREET
OLEAN, NY 14760
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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