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BROWNS PRESCRIPTION PHARMACY, 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
BROWNS PRESCRIPTION PHARMACY, INC
Pharmacy Address
DBA BROWNS PHARMACY
115 FRONT ST
DEPOSIT, NY 13754
Pharmacy Comments
Contract Details
Approval Date
7/10/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2023
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
Browns prescription
Colin Valenta, owner
(607) 467-2298
Signed By Date
7/10/2020
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