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BROWN'S PHARMACY
SCH330136-00 MARY IMOGENE BASSETT HOSPITAL
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Covered Entity Details
Entity Name
MARY IMOGENE BASSETT HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH330136-00
Entity Address
1 ATWELL ROAD
COOPERSTOWN, NY 13326
Medicare Provider Number
330136
Participating Start Date
7/1/2024
Last Recertification Date
8/29/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
BROWN'S PHARMACY
Pharmacy Address
225 MAIN ST
P.O. BOX 308
UNADILLA, NY 13849-2245
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paul Swinko, CFO
(607) 547-3096
Contract Pharmacy Representative
Brown's Pharmacy, LLC
Christopher Brown, Owner
(607) 369-2131
Signed By Date
7/15/2021
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