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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
GREENE PHARMA LLC
RRC330094-00 Columbia Memorial Hospital
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Covered Entity Details
Entity Name
Columbia Memorial Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330094-00
Entity Address
71 Prospect Aveune
Hudson, NY 12534
Medicare Provider Number
330094
Participating Start Date
10/1/2013
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
GREENE PHARMA LLC
Pharmacy Address
DBA-GREENE MEDICAL ARTS PHARMACY
159 JEFFERSON HEIGHTS
SUITE D102
CATSKILL, NY 12414-1239
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vincent J. Dingman III, Chief Financial Officer
(518) 828-7601 Ext: 8249
Contract Pharmacy Representative
Greene Medical Arts Pharmacy
Srinivas Velesetty, Pharmacy Manager
(518) 943-1715
Signed By Date
4/15/2014
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