Covered Entity Details

CH03309Q Cornerstone Care, Inc. (Active) - information as of 4/28/2025 11:28:00 PM

Main Details

Name

Cornerstone Care, Inc.

Subdivision Name

Cornerstone Care Dental Center of West Mifflin

Type

HRSA-Funded Health Center

Site ID

BPS-H80-028392

340B ID

CH03309Q

Grant Number

H80CS00401

Additional Details

Current Program Status

Active

Registration Date

4/2/2020

Participating Start Date

7/1/2020

Participating Approval Date

4/3/2020

Last Recertification Date

2/20/2025

Contacts

Authorizing Official

Cornerstone Care
Nicole M. Coneybeer, Pharmacy Program Administrator
(724) 324-9001 Ext: 1783

Primary Contact

Cornerstone Care, Inc
RICHARD T. RINEHART, CEO
(724) 943-3308 Ext: 127

Addresses

Street Address

500 N Lewis Run Rd Ste 128
West Mifflin, PA 15122-3075

Billing Address

CORNERSTONE CARE, INC.
7 GLASSWORKS ROAD
GREENSBORO, PA 15338

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04245	175 W. BEAU STREET	WASHINGTON	PA	15301	07/17/2023	10/01/2023			10/01/2023

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH033090	Active	BPS-H80-003664	CORNERSTONE CARE, INC.	Cornerstone Care Community Health Center of Greensboro	7 Glassworks Rd	GREENSBORO	PA
CH03309A	Active	BPS-H80-001626	CORNERSTONE CARE, INC.	Cornerstone Care Community Health Center of Rogersville	140 CHURCH ST	ROGERSVILLE	PA
CH03309D	Active	BPS-H80-005269	CORNERSTONE CARE, INC.	Cornerstone Care Community Health Center of Burgettstown	1227 Smith Township State Rd	BURGETTSTOWN	PA
CH03309G	Active	BPS-H80-000753	CORNERSTONE CARE, INC.	Cornerstone Care Dental and Behavioral Health Center of Waynesburg	501 W High St	Waynesburg	PA
CH03309I	Active	BPS-H80-003466	CORNERSTONE CARE, INC.	Cornerstone Care Pediatric and Family Medicine Center of Waynesburg	236 Elm Dr	Waynesburg	PA
CH03309K	Terminated	BPS-H80-002666	CORNERSTONE CARE, INC.	Cornerstone Care Community Health Center of Washington	400 Jefferson Ave Ste 4	Washington	PA
CH03309L	Active	BPS-H80-011316	CORNERSTONE CARE, INC.	Cornerstone Care Community Dental Center of Uniontown	140 N Beeson Ave Ste 400	Uniontown	PA
CH03309M	Active	BPS-H80-009261	CORNERSTONE CARE, INC.	Cornerstone Care Community Health Center and Pharmacy of Mount Morris	120 Locust Ave Ext	Mount Morris	PA
CH03309N	Active	BPS-H80-009418	CORNERSTONE CARE, INC.	Cornerstone Care Community Mobile Health Center	7 Glassworks Rd	Greensboro	PA
CH03309P	Active	BPS-H80-027499	Cornerstone Care, Inc.	Cornerstone Care Community Health Center of Clairton	559 Miller Ave	Clairton	PA
CH03309Q	Active	BPS-H80-028392	Cornerstone Care, Inc.	Cornerstone Care Dental Center of West Mifflin	500 N Lewis Run Rd Ste 128	West Mifflin	PA
CH03309R	Terminated	BPS-H80-030639	CORNERSTONE CARE, INC.	Cornerstone Care Vision Center of Waynesburg	74 W High St	Waynesburg	PA
CH03309S	Terminated	BPS-H80-030767	CORNERSTONE CARE, INC.	Cornerstone Care Vision Center of Connellsville	118 S Pittsburgh St	Connellsville	PA
CH03309T	Terminated	BPS-H80-030768	CORNERSTONE CARE, INC.	Cornerstone Care Vision Center of Hopwood	1249 National Pike	Hopwood	PA
CH03309U	Active	BPS-H80-033774	Cornerstone Care, Inc.	Medical and Behavioral Health Center of Washington	351 W Beau St Ste 200	Washington	PA
CH03309V	ToBeTerminated	BPS-H80-034384	Cornerstone Care, Inc.	Community Vision Center of Waynesburg	1150 7th St STE 3	Waynesburg	PA
CH03309W	Approved	BPS-H80-039890	CORNERSTONE CARE INC	Cornerstone Care Vision Center of Uniontown	140 N Beeson Ave, Suite 403	Uniontown	PA
CH03309X	Approved	BPS-H80-033452	CORNERSTONE CARE INC	Dental and Optometry Center of Washington	351 W Beau St Ste 301	Washington	PA
CH03309Y	Approved	BPS-H80-039131	CORNERSTONE CARE INC	Cornerstone Care Mobile Dental Unit	7 Glassworks Rd	Greensboro	PA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH033090	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	10/01/2014	06/01/2022
CH033090	AVELLA OF COLUMBUS	4830 KNIGHTSBRIDGE BLVD STE C		COLUMBUS	OH	43214-2300	01/01/2016	01/05/2018
CH033090	AVELLA OF DEER VALLEY	23620 N 20TH DR #12		PHOENIX	AZ	85085-0621	01/01/2016	01/05/2018
CH033090	AVELLA OF PHOENIX III	1101 N CENTRAL AVE., STE. 102		PHOENIX	AZ	85004	01/01/2016	10/23/2015
CH033090	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	04/01/2019	01/15/2019
CH033090	COORDINATED CARE NETWORK	COORDINATED CARE NETWORK	300 PENN CENTER BLVD STE 405	PITTSBURGH	PA	15235-5511	09/18/2006	05/20/2015
CH033090	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	10/01/2013	05/20/2015
CH033090	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	10/01/2013	05/20/2015
CH033090	CURTIS PHARMACY	575 HENDERSON AVE STE 1		WASHINGTON	PA	15301-1901	07/01/2016	07/17/2018
CH03309G	CURTIS PHARMACY	575 HENDERSON AVE STE 1		WASHINGTON	PA	15301-1901	06/09/2009	07/17/2018
CH033090	CURTIS PHARMACY	575 HENDERSON AVE STE 1		WASHINGTON	PA	15301-1901	01/01/2019
CH033090	CURTIS PHARMACY	555 ROUTE 88		CARMICHAELS	PA	15320	05/31/2023
CH033090	FAMCARE PHARMACY	1429 BURGETTSTOWN PLZ		BURGETTSTOWN	PA	15021-1187	01/01/2016
CH03309D	FAMCARE PRESCRIPTION AND		HEALTH CENTER 1429 BURGETTSTOWN PLAZA	BURGETTSTOWN	PA	15021	10/01/2023
CH033090	GENOA HEALTHCARE LLC	378 WEST CHESTNUT STREET	SUITE 205	WASHINGTON	PA	15301	07/01/2025
CH033090	GENOA HEALTHCARE LLC	2 EASTGATE AVE STE P		MONESSEN	PA	15062	07/01/2025
CH033090	GENOA HEALTHCARE LLC	331 SHAW AVENUE		MCKEESPORT	PA	15132	07/01/2025
CH033090	GENOA HEALTHCARE LLC	75 EAST MAIDEN STREET, SUITE 101B		WASHINGTON	PA	15301	07/01/2025
CH033090	GENOA HEALTHCARE LLC	1350 WEST 26TH STREET, STE 100		ERIE	PA	16508	07/01/2025
CH033090	GIANT EAGLE PHARMACY #0039	331 WASHINGTON ROAD		WASHINGTON	PA	15301	04/01/2016
CH033090	GIANT EAGLE PHARMACY #0058	208 GIANT STREET		MORGANTOWN	WV	26501	07/01/2020
CH033090	GIANT EAGLE PHARMACY #0073	9901 MOUNTAINVIEW DRIVE		WEST MIFFLIN	PA	15122	07/01/2020
CH033090	GIANT EAGLE PHARMACY #0098	581 PITTSBURGH RD		UNIONTOWN	PA	15401	07/01/2020
CH033090	GIANT EAGLE PHARMACY #0487	100 SUGAR RUN ROAD		WAYNESBURG	PA	15370	04/01/2016
CH033090	GIANT EAGLE PHARMACY #1288	200 STATION ST		MCDONALD	PA	15057	04/01/2016
CH033090	GIANT EAGLE PHARMACY #1614	800 MCKEESPORT ROAD		ELIZABETH	PA	15037	07/01/2020
CH033090	GIANT EAGLE PHARMACY #1689	999 N EIGHTY EIGHT RD		RICES LANDING	PA	15357	04/01/2016
CH033090	GIANT EAGLE PHARMACY #8991	2500 LOVI RD		FREEDOM	PA	15042	04/01/2016
CH033090	HILLTOP PHARMACY	HILLTOP PHARMACY	818 E. WARRINGTON AVE	PITTSBURGH	PA	15210	07/01/2025
CH033090	HIXENBAUGH'S DRUG STORE	HIXENBAUGH'S DRUG STORE	304 MORGANTOWN ST PO BOX 932	UNIONTOWN	PA	15401	01/01/2014	05/20/2015
CH03309L	HIXENBAUGH'S DRUG STORE	HIXENBAUGH'S DRUG STORE	304 MORGANTOWN ST PO BOX 932	UNIONTOWN	PA	15401	07/09/2010	05/20/2015
CH033090	KROGER PHARMACY	1851 EARL CORE ROAD		MORGANTOWN	WV	26505	07/01/2016	11/18/2018
CH033090	KROGER PHARMACY #813	500 SUNCREST TOWN CENTRE DR.		MORGANTOWN	WV	26505	10/01/2017	11/18/2018
CH033090	LIVINGSTON PHARMACY	550 MILLER AVE		CLAIRTON	PA	15025	04/01/2019
CH03309P	LIVINGSTON PHARMACY	550 MILLER AVE		CLAIRTON	PA	15025	01/01/2025
CH033090	MANIFEST PHARMACY, LLC	1018 S BATESVILLE RD	STE 4A	GREER	SC	29650-5203	10/01/2013	01/01/2016
CH033090	MC CRACKEN PHARMACY INC	595 E HIGH ST		WAYNESBURG	PA	15370	01/01/2014
CH03309A	MC CRACKEN PHARMACY INC	595 E HIGH ST		WAYNESBURG	PA	15370	01/01/2009
CH033090	MCDONALD PHARMACY	303 W BARR ST		MC DONALD	PA	15057-1423	01/01/2016	06/01/2022
CH033090	MOUNT MORRIS PHARMACY	MOUNT MORRIS PHARMACY	120 LOCUST AVE EXT SUITE 2	MOUNT MORRIS	PA	15349-1355	10/01/2014	04/15/2022
CH033090	NICKMAN'S DRUG, #139	1878 MCCLELLANDTOWN RD		MASONTOWN	PA	15461-2508	07/01/2022
CH033090	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	07/01/2025
CH033090	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	07/01/2025
CH033090	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	07/01/2025
CH033090	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05700	3161 MT. MORRIS RD.	WAYNESBURG	PA	15370	10/01/2015
CH033090	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05749	1845 MCCLELLANDTOWN RD	MASONTOWN	PA	15461	10/01/2015
CH033090	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04245	175 W. BEAU STREET	WASHINGTON	PA	15301	07/01/2019
CH03309G	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05700	3161 MT. MORRIS RD.	WAYNESBURG	PA	15370	10/01/2023
CH03309Q	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04245	175 W. BEAU STREET	WASHINGTON	PA	15301	10/01/2023
CH03309T	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05749	1845 MCCLELLANDTOWN RD	MASONTOWN	PA	15461	10/01/2023	01/01/2025
CH03309I	PENNSYLVANIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05749	1845 MCCLELLANDTOWN RD	MASONTOWN	PA	15461	01/01/2025
CH033090	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	10/01/2018	06/01/2022
CH033090	RAE'S PHARMACY AT SHOP AND SAVE	DANERON LLC	150 WALNUT HILL RD	UNIONTOWN	PA	15401	04/01/2018	12/10/2018
CH033090	RITE AID OF PENNSYLVANIA, LLC	RITE AID #926	1440 EAST HIGH STREET	WAYNESBURG	PA	15370	07/01/2013
CH033090	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3508	1340 MAIN STREET	BURGETTSTOWN	PA	15021	07/01/2013
CH03309I	RITE AID OF PENNSYLVANIA, LLC	RITE AID #926	1440 EAST HIGH STREET	WAYNESBURG	PA	15370	10/01/2023
CH03309U	RITE AID OF PENNSYLVANIA, LLC	RITE AID #3508	1340 MAIN STREET	BURGETTSTOWN	PA	15021	10/01/2023
CH033090	THE MEDICINE MINE INC	555 ROUTE 88		CARMICHAELS	PA	15320	01/01/2014	03/31/2017
CH03309I	THE MEDICINE MINE INC	555 ROUTE 88		CARMICHAELS	PA	15320	01/01/2009	03/31/2017
CH033090	THE MEDICINE MINE INC	555 ROUTE 88		CARMICHAELS	PA	15320	07/01/2019	07/14/2020
CH033090	THE MEDICINE MINE INC	555 ROUTE 88		CARMICHAELS	PA	15320	10/01/2022	05/31/2023
CH033090	US BIOSERVICES	US BIOSERVICE CORPORATION	5025 PLANO PARKWAY STE 100	CARROLLTON	TX	75010	10/01/2020	12/31/2021
CH033090	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2017
CH033090	WAL-MART PHARMACY 10-1739	30 TRINITY POINT DRIVE		WASHINGTON	PA	15301	12/03/2012	03/03/2017
CH033090	WAL-MART PHARMACY 10-1739	30 TRINITY POINT DRIVE		WASHINGTON	PA	15301	10/01/2023
CH03309N	WAL-MART PHARMACY 10-1739	30 TRINITY POINT DRIVE		WASHINGTON	PA	15301	10/01/2023
CH033090	WAL-MART PHARMACY 10-1948	400 THREE SPRINGS DR		WEIRTON	WV	26062	10/01/2023
CH03309U	WAL-MART PHARMACY 10-1948	400 THREE SPRINGS DR		WEIRTON	WV	26062	07/01/2025
CH033090	WAL-MART PHARMACY 10-2019	355 WAL-MART DR		UNIONTOWN	PA	15401	12/03/2012
CH03309L	WAL-MART PHARMACY 10-2019	355 WAL-MART DR		UNIONTOWN	PA	15401	10/01/2023
CH033090	WAL-MART PHARMACY 10-2083	75 RETAIL CIRCLE		MORGANTOWN	WV	26508	10/01/2023
CH033090	WAL-MART PHARMACY 10-3215	5605 UNIVERSITY TOWN CENTRE DR		GRANVILLE	WV	26501	10/01/2023
CH033090	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	10/01/2020	01/17/2022
CH033090	WAL-MART PHARMACY 10-5379	1450 MORRELL AVENUE		CONNELLSVILLE	PA	15425	12/03/2012	04/20/2017
CH033090	WAL-MART PHARMACY 10-5446	405 MURTHA DRIVE		WAYNESBURG	PA	15370	12/03/2012
CH03309R	WAL-MART PHARMACY 10-5446	405 MURTHA DRIVE		WAYNESBURG	PA	15370	10/01/2023	04/01/2024
CH03309L	WAL-MART PHARMACY 10-5446	405 MURTHA DRIVE		WAYNESBURG	PA	15370	01/01/2025
CH033090	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2017
CH033090	WALGREEN CO.	DBA: WALGREENS # 09343	897 CHESTNUT RIDGE RD	MORGANTOWN	WV	26505-2704	04/30/2012
CH033090	WALGREEN CO.	DBA: MY PHARMACY	781 CHESTNUT RIDGE ROAD	MORGANTOWN	WV	26505	04/30/2012	10/28/2021
CH033090	WALGREEN CO.	DBA:WALGREENS #15345	1591 EARL L CORE ROAD	MORGANTOWN	WV	26505	01/01/2016	02/28/2017
CH033090	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	99 JEFFERSON AVE.	WASHINGTON	PA	15301-4434	04/30/2012
CH033090	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09804	180 W MAIN ST	UNIONTOWN	PA	15401-5537	04/30/2012
CH033090	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	100 CAVASINA DR.	CANONSBURG	PA	15317-1767	04/30/2012
CH033090	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	1395 E. HIGH ST.	WAYNESBURG	PA	15370-9557	04/30/2012	12/15/2015
CH03309P	WALGREEN EASTERN CO., INC.	DBA: WALGREENS	99 JEFFERSON AVE.	WASHINGTON	PA	15301-4434	10/01/2023
CH03309S	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09804	180 W MAIN ST	UNIONTOWN	PA	15401-5537	10/01/2023	01/01/2025
CH033090	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	01/01/2024
CH033090	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2023
CH033090	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH033090	WATERFRONT FAMILY PHARMACY	215 DON KNOTTS BLVD STE 120		MORGANTOWN	WV	26501-6734	11/15/2011	12/25/2016
CH033090	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04136	3521 MONONGAHELA BLVD	STAR CITY	WV	26505	07/01/2019
CH03309V	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04136	3521 MONONGAHELA BLVD	STAR CITY	WV	26505	10/01/2023	07/01/2025
CH033090	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06280	1601 EARL L CORE RD.	MORGANTOWN	WV	26505	01/01/2025
CH033090	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10124	1000 PINEVIEW DRIVE	MORGANTOWN	WV	26505	01/01/2025
CH03309M	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04136	3521 MONONGAHELA BLVD	STAR CITY	WV	26505	07/01/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/6/2024 11:10:40 AM	2/20/2025 1:38:29 PM	2/20/2025 1:38 PM
Details	Last Recertification Date	Update	Recertification	2/7/2023 9:39:48 AM	2/6/2024 11:10:40 AM	2/6/2024 11:10 AM
Details	Last Recertification Date	Update	Recertification	2/8/2022 7:33:35 AM	2/7/2023 9:39:48 AM	2/7/2023 9:39 AM
Contacts	Authorizing Official	Update	Profile Change Request	Coneybeer, Nicole Pharmacy Program Administrator Cornerstone Care 7249433308-142	Coneybeer, Nicole M. Pharmacy Program Administrator Cornerstone Care 7243249001-1783	2/7/2023 9:24 AM
Contacts	Signed By	Update	Profile Change Request	Coneybeer, Nicole Pharmacy Program Administrator Cornerstone Care 7249433308-142	Coneybeer, Nicole M. Pharmacy Program Administrator Cornerstone Care 7243249001-1783	2/7/2023 9:24 AM
Details	Last Recertification Date	Update	Recertification	2/2/2021 8:22:32 AM	2/8/2022 7:33:35 AM	2/8/2022 7:33 AM
Details	Entity Subname	Update	Change Request	Cornerstone Care Clairton Dental Office	Cornerstone Care Dental Center of West Mifflin	7/16/2021 11:36 AM
Details	Last Recertification Date	Update	Recertification		2/2/2021 8:22:32 AM	2/2/2021 8:22 AM
Details	State	Update		Approved	Active	7/1/2020 12:00 AM
Contacts	Signed By	Insert	New Registration		Coneybeer, Nicole Pharmacy Program Administrator Cornerstone Care 7249433308-142	4/3/2020 6:54 AM
Details	340B ID	Update	New Registration		CH03309Q	4/3/2020 6:54 AM
Dates	Participating Approval Date	Update	New Registration		4/3/2020 6:54:13 AM	4/3/2020 6:54 AM
Details	State	Update	New Registration	Pending	Approved	4/3/2020 6:54 AM
Dates	Signed By Date	Update	New Registration		4/2/2020 2:13:01 PM	4/3/2020 6:54 AM
Dates	Start Date	Update	New Registration		7/1/2020 12:00:00 AM	4/3/2020 6:54 AM
Addresses	Main Address	Insert	New Registration		500 N Lewis Run Rd Ste 128 West Mifflin, PA 15122-3075	4/2/2020 2:12 PM
Addresses	Billing Address	Insert	New Registration		CORNERSTONE CARE, INC. 7 GLASSWORKS ROAD GREENSBORO, PA 15338	4/2/2020 2:12 PM
Contacts	Primary Contact	Insert	New Registration		RINEHART, RICHARD T. CEO Cornerstone Care, Inc 7249433308-127	4/2/2020 2:12 PM
Contacts	Authorizing Official	Insert	New Registration		Coneybeer, Nicole Pharmacy Program Administrator Cornerstone Care 7249433308-142	4/2/2020 2:12 PM
Details	Last Recertification Date	Insert	New Registration			4/2/2020 2:12 PM
Details	Grant Number	Insert	New Registration		H80CS00401	4/2/2020 2:12 PM
Details	340B ID	Insert	New Registration			4/2/2020 2:12 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/2/2020 2:12 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/2/2020 2:12 PM
Details	Medicare Provider Number	Insert	New Registration			4/2/2020 2:12 PM
Details	Entity Name	Insert	New Registration		Cornerstone Care, Inc.	4/2/2020 2:12 PM
Details	Program Code	Insert	New Registration		CH	4/2/2020 2:12 PM
Details	Entity Subname	Insert	New Registration		Cornerstone Care Clairton Dental Office	4/2/2020 2:12 PM
Dates	Participating Approval Date	Insert	New Registration			4/2/2020 2:12 PM
Details	State	Insert	New Registration		Pending	4/2/2020 2:12 PM
Dates	Registration Date	Insert	New Registration		4/2/2020 2:12:58 PM	4/2/2020 2:12 PM
Dates	Signed By Date	Insert	New Registration			4/2/2020 2:12 PM
Dates	Start Date	Insert	New Registration			4/2/2020 2:12 PM
Terminations	Termination Comments	Insert	New Registration			4/2/2020 2:12 PM
Terminations	Termination Date	Insert	New Registration			4/2/2020 2:12 PM
Terminations	Termination Effective Date	Insert	New Registration			4/2/2020 2:12 PM
Terminations	Termination Reason	Insert	New Registration			4/2/2020 2:12 PM

340B Drug Pricing Program Database