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WEGMANS FOOD MARKETS, INC.
DSH330394 UNITED HEALTH SERVICES HOSPITALS, INC.
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Covered Entity Details
Entity Name
UNITED HEALTH SERVICES HOSPITALS, INC.
Subdivision Name
Binghamton General Hospital
Type
Disproportionate Share Hospital
340B ID
DSH330394
Entity Address
10-42 MITCHELL AVENUE
BINGHAMTON, NY 13903
Medicare Provider Number
330394
Participating Start Date
9/4/2009
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
2851 BROADWAY
ATTN: PHARMACY
CHEEKTOWAGA, NY 14227
Pharmacy Comments
Contract Details
Approval Date
7/16/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/25/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Elizabeth kay Boland, Sr. VP/CNO/COO
(677) 636-6694
Contract Pharmacy Representative
Wegmans
Joseph Morgante, Pharmacy Business Relation Manager
(585) 239-2046
Signed By Date
7/16/2019
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