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BUFFALO PHARMACIES
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
BUFFALO PHARMACIES
Pharmacy Address
813 FAY RD STE P1
SYRACUSE, NY 13219-3009
Pharmacy Comments
Contract Details
Approval Date
4/9/2013
Contract Begin Date
4/9/2013
Carve-In Effective Date
Contract Comments
04/09/2013 - public health emergency declared in the state of NY effective 10/27/2012
Contract Termination Date
Termination Reason
9/17/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Joseph Kessler, CFO
(716) 859-8836
Contract Pharmacy Representative
Trent Voelkl, Vice President, Operations
(716) 204-9060
Signed By Date
4/9/2013
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