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WEGMANS FOOD MARKETS, INC.
DSH330125 ROCHESTER GENERAL HOSPITAL
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Covered Entity Details
Entity Name
ROCHESTER GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330125
Entity Address
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Medicare Provider Number
330125
Participating Start Date
10/1/2019
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
2873 BROADWAY ST
SUITE 100
CHEEKTOWAGA, NY 14227-1036
Pharmacy Comments
Contract Details
Approval Date
2/11/2021
Contract Begin Date
2/11/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hugh Thomas, Executive Vice President, Chief Administrative Officer
(585) 922-4941
Contract Pharmacy Representative
Wegmans Food Markets, Inc.
Tony Tartaro, Business Development Manager-Pharmacy
(585) 746-5059
Signed By Date
2/11/2021
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