340B Drug Pricing Program Database

Pharmacy Name

FILLMORE AND FISHER PHARMACY

Pharmacy Address

POST OFFICE BOX 272
10560 ROUTE 19
FILLMORE, NY 14735

Pharmacy Comments

Approval Date

8/10/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

James Helms, Vice President of Finance
(585) 596-4002

Contract Pharmacy Representative

Brian Loucks, Pharmacist
(585) 567-2228

Signed By Date

8/10/2017