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WAL-MART PHARMACY 10-2234
DSH330115 ONEIDA HEALTHCARE CENTER
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Covered Entity Details
Entity Name
ONEIDA HEALTHCARE CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330115
Entity Address
321 GENESEE STREET
ONEIDA, NY 13421
Medicare Provider Number
330115
Participating Start Date
1/1/2015
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2234
Pharmacy Address
5815 ROME TABERG RD
ROME, NY 13440
Pharmacy Comments
Contract Details
Approval Date
12/9/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John Milligan, CFO
(315) 361-2088
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
12/9/2014
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