340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RITE AID OF NEW YORK, INC.
SCH330218-00 Oswego Hospital
Print
Covered Entity Details
Entity Name
Oswego Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH330218-00
Entity Address
110 West 6th Street
Oswego, NY 13126
Medicare Provider Number
330218
Participating Start Date
12/2/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
RITE AID OF NEW YORK, INC.
Pharmacy Address
RITE AID #4457
110 EAST BROADWAY
FULTON, NY 13069
Pharmacy Comments
Contract Details
Approval Date
1/13/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/13/2018
Ownership change
Contacts
Covered Entity Signing Official
Robert T. Pompo, Executive VP-Finance
(315) 349-5695
Contract Pharmacy Representative
Angelica Hernandez, Implementation Specialist
(210) 587-3486 Ext: 125
Signed By Date
1/13/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session