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WEGMANS FOOD MARKETS, INC.
SCH330235-00 AUBURN COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
AUBURN COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH330235-00
Entity Address
17 LANSING STREET
AUBURN, NY 13021
Medicare Provider Number
330235
Participating Start Date
10/1/2016
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
4722 ONONDAGA BLVD
ATTN: PHARMACY
SYRACUSE, NY 13219
Pharmacy Comments
02/01/2012 changed store #(was 131)
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Eric Burch, Senior Vice President of Administration
(315) 567-0560
Contract Pharmacy Representative
Wegmans
Megan Hammersmith, Director of Pharmacy
(315) 437-1599
Signed By Date
10/12/2023
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