340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PARKVIEW NIAGARA STREET, LLC
RRC330140-00 ST. JOSEPHS HOSPITAL HEALTH CENTER
Print
Covered Entity Details
Entity Name
ST. JOSEPHS HOSPITAL HEALTH CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330140-00
Entity Address
301 PROSPECT AVENUE
SYRACUSE, NY 13203
Medicare Provider Number
330140
Participating Start Date
10/1/2021
Last Recertification Date
8/26/2024
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
1/18/2022
Contract Begin Date
1/24/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Meredith Anne Price, Chief Financial Officer
(315) 448-5888
Contract Pharmacy Representative
Parkview Health Services
Justin Walclawek, Director of Pharmacy
(716) 876-2323 Ext: 282
Signed By Date
1/18/2022
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