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THE GOLUB CORPORATION
CAH331305-00 O'Connor Hospital
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Covered Entity Details
Entity Name
O'Connor Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331305-00
Entity Address
460 Andes Road
Delhi, NY 13753
Medicare Provider Number
331305
Participating Start Date
2/13/2013
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
THE GOLUB CORPORATION
Pharmacy Address
PRICE CHOPPER PHARMACY 161
5631 STATE HIGHWAY 12
NORWICH, NY 13815
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Swinko, CFO
(607) 547-3096
Contract Pharmacy Representative
Price Chopper
Angel Adams, Pharmacy Manager
(607) 336-2588
Signed By Date
7/13/2022
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