340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN EASTERN CO., INC.
SCH330008-00 WYOMING COUNTY COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
WYOMING COUNTY COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH330008-00
Entity Address
400 NORTH MAIN STREET
WARSAW, NY 14569
Medicare Provider Number
330008
Participating Start Date
1/1/2024
Last Recertification Date
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA: WALGREENS
8 W. MAIN ST.
LEROY, NY 14482
Pharmacy Comments
Contract Details
Approval Date
7/1/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Jo Chase, Chief Financial Officer
(585) 786-8940 Ext: 4129
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/1/2021
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