340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
STATE UNIVERSITY OF NEW YORK
CH020160 SYRACUSE COMMUNITY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH020160
Entity Address
819 S Salina St
Syracuse, NY 13202-3527
Grant Number
H80CS00434
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
STATE UNIVERSITY OF NEW YORK
Pharmacy Address
OUTPATIENT PHARMACY
750 E ADAMS ST LOBBY
SYRACUSE, NY 13210
Pharmacy Comments
Contract Details
Approval Date
1/28/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/15/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Derrick Murry, Chief Operating Officer
(315) 476-7921 Ext: 5942
Contract Pharmacy Representative
SUNY Upstate Medical University Hospital
Eric Balotin, Associate Director of Pharmacy
(315) 464-4215
Signed By Date
1/28/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session