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STRONG MEMORIAL HOSPITAL-UNIV OF ROCHEST
DSH330285F STRONG MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
STRONG MEMORIAL HOSPITAL
Subdivision Name
STRONG MEMORIAL HOSPITAL AT STRONG TIES
Type
Disproportionate Share Hospital
340B ID
DSH330285F
Entity Address
2613 WEST HENRIETTA ROAD
ROCHESTER, NY 14623
Medicare Provider Number
330285
Outpatient Facility Provider Number
Participating Start Date
1/1/2006
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
STRONG MEMORIAL HOSPITAL-UNIV OF ROCHEST
Pharmacy Address
D/B/A STRONG TIES PHARMACY
2613 W HENRIETTA RD
ROCHESTER, NY 14623-2327
Pharmacy Comments
Contract Details
Approval Date
1/1/2006
Contract Begin Date
1/1/2006
Carve-In Effective Date
Contract Comments
12/6/07 ADMIN CORRECTION 340B ID # CHANGED (WAS DSH14642F)
Contract Termination Date
Termination Reason
7/29/2015
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
11/30/2005
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