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BUFFALO PHARMACIES INC
DSH330226 UNITY HOSPITAL OF ROCHESTER
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Covered Entity Details
Entity Name
UNITY HOSPITAL OF ROCHESTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH330226
Entity Address
1555 LONG POND ROAD
ROCHESTER, NY 14626
Medicare Provider Number
330226
Participating Start Date
3/15/2022
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
BUFFALO PHARMACIES INC
Pharmacy Address
20 LAWRENCE BELL DR
WILLIAMSVILLE, NY 14221-7090
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hugh Thomas, Executive Vice President, Chief Administrative Officer
(585) 922-4941
Contract Pharmacy Representative
Trent Voelkl, Vice President, Operations
(716) 204-9060
Signed By Date
1/17/2017
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