340B Drug Pricing Program Database
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HV46012A Geisinger Clinic (Active)
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Main Details
Name
Geisinger Clinic
Subdivision Name
Geisinger Clinic RW Part C
Type
Ryan White Part C
340B ID
HV46012A
Grant Number
H76HA46012-02-00
Additional Details
Current Program Status
Active
Registration Date
4/15/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/23/2024
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
5/1/2024 - 4/30/2025
Contacts
Authorizing Official
Geisinger Health
Michael Anthony Evans, VP Pharmacy CPO
(570) 271-6192
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
400 Highland Ave
Lewistown, PA 17044
Billing Address
Geisinger Clinic
100 North Academy Ave
Danville, PA 17822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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