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RELIANT PHARMACY CORP.
DSH330219 ERIE COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
ERIE COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330219
Entity Address
462 Grider Street
BUFFALO, NY 14215
Medicare Provider Number
330219
Participating Start Date
4/1/1996
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
RELIANT PHARMACY CORP.
Pharmacy Address
DBA: RELIANT MEDICAL PHARMACY
4114 UNION RD SUITE A
CHEEKTOWAGA, NY 14225
Pharmacy Comments
Contract Details
Approval Date
7/2/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/3/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MICHAEL SAMMARCO, CHIEF FINANCIAL OFFICER
(716) 898-5931
Contract Pharmacy Representative
Jennifer Battin, President
(716) 631-2433
Signed By Date
7/2/2014
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