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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
1000 HIGHWAY 36 NORTH
ATTN: PHARMACY
HORNELL, NY 14843
Pharmacy Comments
01/25/2013 name update, DEA normalization (was Wegmans Pharmacy #017)
Contract Details
Approval Date
4/23/2012
Contract Begin Date
4/23/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LEONARD J. SHUTE, SENIOR DIRECTOR OF FINANCE, CFO
(585) 275-3033
Contract Pharmacy Representative
William Strassburg, Vice President
(585) 463-4064
Signed By Date
4/23/2012
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