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WEGMANS FOOD MARKETS, INC.
RRC330125-00 ROCHESTER GENERAL HOSPITAL
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Covered Entity Details
Entity Name
ROCHESTER GENERAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330125-00
Entity Address
1425 PORTLAND AVENUE
ROCHESTER, NY 14617
Medicare Provider Number
330125
Participating Start Date
4/1/2019
Last Recertification Date
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
1000 HIGHWAY 36 NORTH
ATTN: PHARMACY
HORNELL, NY 14843
Pharmacy Comments
01/25/2013 name update, DEA normalization (was Wegmans Pharmacy #017)
Contract Details
Approval Date
2/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Hugh Thomas, Executive Vice President, Chief Administrative Officer
(585) 922-4941
Contract Pharmacy Representative
Wegmans
Joseph Morgante, Pharmacy Business Relation Manager
(585) 239-2046
Signed By Date
1/15/2019
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