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CVS ALBANY, L.L.C.
RRC390079-00 ROBERT PACKER HOSPITAL
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Covered Entity Details
Entity Name
ROBERT PACKER HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390079-00
Entity Address
ONE GUTHRIE SQUARE
SAYRE, PA 18840
Medicare Provider Number
390079
Participating Start Date
1/1/2018
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00565
138 VESTAL PARKWAY WEST
VESTAL, NY 13850
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott G Silvestri, CFO
(570) 887-5985
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2019
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