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RITE AID OF NEW YORK, INC.
DSH330215 Rome Memorial Hospital, Inc.
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Covered Entity Details
Entity Name
Rome Memorial Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330215
Entity Address
1500 N. James Street
Rome, NY 13440
Medicare Provider Number
330215
Participating Start Date
1/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #610
405 ERIE BOULEVARD WEST
ROME, NY 13440
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nathan Smith, AVP Finance
(315) 338-7597
Contract Pharmacy Representative
Rite Aid
Owen McMahon, GVP, Enterprise Pharmaceutical Purchasing
(717) 214-2505
Signed By Date
4/8/2024
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