340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TOPS MARKETS
CAH331313-00 SCHUYLER HOSPITAL INC
Print
Covered Entity Details
Entity Name
SCHUYLER HOSPITAL INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331313-00
Entity Address
220 STEUBEN ST
MONTOUR FALLS, NY 14865
Medicare Provider Number
331313
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
TOPS MARKETS
Pharmacy Address
TOPS PHARMACY #522
2300 N. TRIPHAMMER RD
ITHACA, NY 14850
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/10/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rebecca Gould, President / CFO
(607) 535-8639 Ext: 3801
Contract Pharmacy Representative
Tops Markets, LLC
Edlinda Borrero, Third Party Pharmacy Coordinator
(716) 635-5278
Signed By Date
4/12/2021
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