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PARKVIEW HEALTH SERVICES, LLC
DSH330219 ERIE COUNTY MEDICAL CENTER
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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
PARKVIEW HEALTH SERVICES, LLC
Pharmacy Address
3920 MAIN ST STE 100
AMHERST, NY 14226
Pharmacy Comments
Contract Details
Approval Date
10/9/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
10/1/2021
Contract Comments
Contacts
Covered Entity Signing Official
Jonathan Thomas Swiatkowski, Chief Financial Officer
(716) 898-6291
Contract Pharmacy Representative
Parkview Health Services
Kevin O'Leary, President
(716) 876-2323
Signed By Date
10/9/2020
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