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FAMILY PHARMACEUTICAL SERVICES LLC
DSH330005 KALEIDA HEALTH
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Covered Entity Details
Entity Name
KALEIDA HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330005
Entity Address
100 High Street
BUFFALO, NY 14203
Medicare Provider Number
330005
Participating Start Date
4/1/2006
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
FAMILY PHARMACEUTICAL SERVICES LLC
Pharmacy Address
D/B/A SUBURBAN FAMILY PHARMACY
1540 MAPLE ROAD
WILLIAMSVILLE, NY 14221
Pharmacy Comments
Contract Details
Approval Date
10/18/2011
Contract Begin Date
10/18/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Jonathan Thomas Swiatkowski, EVP, Chief Financial Officer
(716) 859-8836
Contract Pharmacy Representative
Lawrence Zielinski, President
(716) 859-3384
Signed By Date
10/13/2011
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