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WALGREEN EASTERN CO., INC.
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
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
WALGREENS 17213
423 S PETERBORO ST
CANASTOTA, NY 13032
Pharmacy Comments
Contract Details
Approval Date
4/4/2018
Contract Begin Date
4/4/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Gene Morreale, CEO
(315) 361-2300
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2018
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