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WEGMANS FOOD MARKETS, INC.
DSH330394 UNITED HEALTH SERVICES HOSPITALS, INC.
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Covered Entity Details
Entity Name
UNITED HEALTH SERVICES HOSPITALS, INC.
Subdivision Name
Binghamton General Hospital
Type
Disproportionate Share Hospital
340B ID
DSH330394
Entity Address
10-42 MITCHELL AVENUE
BINGHAMTON, NY 13903
Medicare Provider Number
330394
Participating Start Date
9/4/2009
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
WEGMANS FOOD MARKETS, INC.
Pharmacy Address
650 HARRY L DR
ATTN: PHARMACY
JOHNSON CITY, NY 13790
Pharmacy Comments
Contract Details
Approval Date
10/10/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dave MacDougall, Senior Vice President and CFO
(607) 762-3006
Contract Pharmacy Representative
Pharmacy Business Relations Mgr
Brian Pompo, Pharmacy Business Relations Manager
(315) 546-1100 Ext: 431
Signed By Date
10/10/2016
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