340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KPH HEALTHCARE SERVICES, INC.
DSH330203 CROUSE HOSPITAL
Print
Covered Entity Details
Entity Name
CROUSE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330203
Entity Address
736 IRVING AVE
SYRACUSE, NY 13210
Medicare Provider Number
330203
Participating Start Date
10/1/2023
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #79
437 ELECTONICS PARKWAY
LIVERPOOL, NY 13088
Pharmacy Comments
Contract Details
Approval Date
9/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Randall, Chief Financial Officer
(315) 470-7589
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
9/8/2023
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