340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HERBST PHARMACY INC
SCH330235-00 AUBURN COMMUNITY HOSPITAL
Print
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
HERBST PHARMACY INC
Pharmacy Address
1 CHURCH ST
PORT BYRON, NY 13140-7701
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eric Burch, Senior Vice President of Administration
(315) 567-0560
Contract Pharmacy Representative
Herbst Pharmacy
Matthew Herbst, Pharmacist/Owner
(315) 776-4372
Signed By Date
1/14/2025
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