340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NOBLE HEALTH SERVICES INC.
CAH331318-00 Carthage Area Hospital, Inc.
Print
Covered Entity Details
Entity Name
Carthage Area Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331318-00
Entity Address
1001 West Street
Carthage, NY 13619
Medicare Provider Number
331318
Participating Start Date
1/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
NOBLE HEALTH SERVICES INC.
Pharmacy Address
6040 TARBELL ROAD
SYRACUSE, NY 13206
Pharmacy Comments
Contract Details
Approval Date
7/14/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rich Duvall, CEO
(315) 519-5201
Contract Pharmacy Representative
Michael Szwajkos, COO
(315) 836-5422
Signed By Date
7/14/2017
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