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PRIZEL'S PHARMACY
RRC330103-00 Olean General Hospital
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Covered Entity Details
Entity Name
Olean General Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC330103-00
Entity Address
515 Main Street
Olean, NY 14760
Medicare Provider Number
330103
Participating Start Date
4/1/2014
Last Recertification Date
8/23/2018
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
PRIZEL'S PHARMACY
Pharmacy Address
535 MAIN ST
OLEAN, NY 14760
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Richard G. Braun Jr., SVP Finance and CFO
(716) 375-6190
Contract Pharmacy Representative
Robert Prizel, Owner
(716) 373-8383
Signed By Date
1/15/2015
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