340B Drug Pricing Program Database

Pharmacy Name

KPH HEALTHCARE SERVICES, INC.

Pharmacy Address

KINNEY DRUGS #42
21 NYS ROUTE 12
ALEXANDRIA BAY, NY 13607

Pharmacy Comments

Approval Date

3/21/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Traci Mintonye, Chief Financial Officer
(315) 482-1142

Contract Pharmacy Representative

Kinney Drugs
Debbi Barber, Director of Pharmacy Programs
(315) 287-3600 Ext: 2423

Signed By Date

3/19/2014