Contract Pharmacy Details

PARKVIEW NIAGARA STREET, LLC
FQHCLA416A EHS, INC.

Covered Entity Details

Entity Name

EHS, INC.

Subdivision Name

Evergreen Health - Elmwood Ave.

Type

Health Center Program Look-Alike

340B ID

FQHCLA416A

Entity Address

206 S Elmwood Ave
Buffalo, NY 14201-2398

Grant Number

LALCS40178

Participating Start Date

12/7/2020

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

PARKVIEW NIAGARA STREET, LLC

Pharmacy Address

DBA RIVERVIEW PROFESSIONAL PHARMACY
3920 MAIN ST STE 150
AMHERST, NY 14226

Pharmacy Comments

Contract Details

Approval Date

7/8/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Raymond Ganoe, President/CEO
(716) 847-0212

Contract Pharmacy Representative

Parkview Health Services
Kevin O'Leary, President
(716) 876-2323

Signed By Date

7/8/2021

340B Drug Pricing Program Database