340B Drug Pricing Program Database
DEPIETRO'S PHARMACY
RRC390001-00 COMMUNITY MEDICAL CENTER - information as of 4/23/2025 11:56:12 PM
Covered Entity Details
Entity Name
COMMUNITY MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390001-00
Entity Address
1800 MULBERRY STREET
SCRANTON, PA 18510
Medicare Provider Number
390001
Participating Start Date
1/1/2024
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
DEPIETRO'S PHARMACY
Pharmacy Address
617 3RD ST
DUNMORE, PA 18512-2849
Pharmacy Comments
Contract Details
Approval Date
11/27/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ron Beer, Chief Admiistrative Officer
(570) 808-5380
Contract Pharmacy Representative
DePietro's Pharmacy
Thomas DePietro, Owner
(570) 209-7440
Signed By Date
10/17/2023
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