340B Drug Pricing Program Database
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HV46012 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
HV46012
Grant Number
H76HA46012-04-00
Additional Details
Current Program Status
Active
Registration Date
10/12/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/25/2023
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
5/1/2025 - 4/30/2026
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
100 North Academy Ave
Danville, PA 17822
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
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