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PHS NFM, LLC
DSH330065 NIAGARA FALLS MEMORIAL MEDICAL CENTER
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Covered Entity Details
Entity Name
NIAGARA FALLS MEMORIAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330065
Entity Address
621-10TH STREET
NIAGARA FALLS, NY 14302
Medicare Provider Number
330065
Participating Start Date
10/1/2006
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
PHS NFM, LLC
Pharmacy Address
DBA PARKVIEW RX NIAGARA FALLS
621 10TH ST STE 172
NIAGARA FALLS, NY 14301
Pharmacy Comments
Contract Details
Approval Date
7/7/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Wright, Senior Vice President/Finance
(716) 278-4399
Contract Pharmacy Representative
Parkview Health Services
Justin Walclawek, Director of Pharmacy
(716) 876-2323 Ext: 282
Signed By Date
7/7/2021
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