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WEGMANS FOOD MARKETS, INC.
DSH330285 STRONG MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
STRONG MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330285
Entity Address
601 Elmwood Avenue
ROCHESTER, NY 14642
Medicare Provider Number
330285
Participating Start Date
10/1/2003
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
ATTN: PHARMACY
851 FAIRPORT RD
EAST ROCHESTER, NY 14445
Pharmacy Comments
02/06/2012 changed store #(was 104)
Contract Details
Approval Date
7/12/2011
Contract Begin Date
7/12/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/1/2011
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