340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC390079-02 ROBERT PACKER HOSPITAL (Active)
Print
Main Details
Name
ROBERT PACKER HOSPITAL
Subdivision Name
ROBERT PACKER HOSPITAL TOWANDA CAMP - Cardiovascular Diagnostic
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390079-02
Medicare Provider Number
390079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/8/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/11/2022
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
The Guthrie Clinic
Matthew David Denniston, VP, Pharmacy Services
(570) 887-6626
Primary Contact
Robert Packer Hospital
Heather Lee Lodge, Pharmacy Services Financial Analyst
(570) 887-4375
Addresses
Street Address
91 HOSPITAL DR
TOWANDA, PA 18848-9702
Billing Address
The Guthrie Clinic
One Guthrie Square
Sayre, PA 18840
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session