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PROACT PHARMACY SERVICES, 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
PROACT PHARMACY SERVICES, INC.
Pharmacy Address
1226 US HIGHWAY 11
GOUVERNEUR, NY 13642
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eric Burch, Senior Vice President of Administration
(315) 567-0560
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
10/15/2024
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