Contract Pharmacy Details

WEGMANS FOOD MARKETS, INC.
DSH330238 NICHOLAS H. NOYES MEMORIAL HOSPITAL

Covered Entity Details

Entity Name

NICHOLAS H. NOYES MEMORIAL HOSPITAL

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH330238

Entity Address

111 CLARA BARTON STREET
DANSVILLE, NY 14437

Medicare Provider Number

330238

Participating Start Date

10/1/2017

Last Recertification Date

8/15/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

WEGMANS FOOD MARKETS, INC.

Pharmacy Address

4287 GENESEE VALLEY PLAZA
ATTN: PHARMACY
GENESEO, NY 14454

Pharmacy Comments

02/06/2012 changed store # (was 126)

Contract Details

Approval Date

7/17/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/29/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Jay Maslyn, CFO
(585) 335-4306

Contract Pharmacy Representative

Wegmans
Joseph Morgante, Pharmacy Business Relation Manager
(585) 239-2046

Signed By Date

7/17/2018

340B Drug Pricing Program Database