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WEGMAN'S FOOD MARKETS, INC.
DSH330090 ARNOT OGDEN MEDICAL CENTER
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Covered Entity Details
Entity Name
ARNOT OGDEN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330090
Entity Address
600 Roe Ave
ELMIRA, NY 14905
Medicare Provider Number
330090
Participating Start Date
10/27/2012
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WEGMAN'S FOOD MARKETS, INC.
Pharmacy Address
300 HAMILTON STREET
ATTN: PHARMACY
GENEVA, NY 14456
Pharmacy Comments
02/06/2012 changed store # (was 174)
Contract Details
Approval Date
1/4/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/16/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jonathan Lawrence, President & CEO
(607) 737-4440
Contract Pharmacy Representative
Wegmans
Joseph Morgante, Pharmacy Business Relation Manager
(585) 239-2046
Signed By Date
1/4/2019
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