340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2107
DSH330005 KALEIDA HEALTH
Print
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
WAL-MART PHARMACY 10-2107
Pharmacy Address
5735 S. TRANSIT RD
LOCKPORT, NY 14094
Pharmacy Comments
Contract Details
Approval Date
10/15/2012
Contract Begin Date
10/15/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Kessler, CFO
(716) 859-8836
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
9/13/2012
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