340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
31ST & 3RD PHARMACY INC
DSH330078AS SISTERS OF CHARITY HOSPITAL
Print
Covered Entity Details
Entity Name
SISTERS OF CHARITY HOSPITAL
Subdivision Name
Sisters Health Center Caritas - Sisters Health Center Caritas - Adult
Type
Disproportionate Share Hospital
340B ID
DSH330078AS
Entity Address
2625 Harlem Road
Suite 160
Cheektowaga, NY 14225
Medicare Provider Number
330078
Outpatient Facility Provider Number
Participating Start Date
4/1/2021
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
7/30/2021
Contract Begin Date
8/5/2021
Carve-In Effective Date
10/1/2021
Contract Comments
Contacts
Covered Entity Signing Official
Michael Osborne, Vice President, Finance
(716) 828-2011
Contract Pharmacy Representative
Paramount Pharmacy
John F. Civitello, 340B Program Director
(631) 815-5778
Signed By Date
7/30/2021
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