340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SPRINGVILLE PHARMACY INFUSION THERAPY, I
DSH330219 ERIE COUNTY MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ERIE COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330219
Entity Address
462 Grider Street
BUFFALO, NY 14215
Medicare Provider Number
330219
Participating Start Date
4/1/1996
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
SPRINGVILLE PHARMACY INFUSION THERAPY, I
Pharmacy Address
OPTION CARE
40 CENTRE DRIVE
ORCHARD PARK, NY 14127-4100
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEPHEN GARY, CHIEF FINANCIAL OFFICER
(716) 898-6291
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
7/15/2019
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