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UPMC MCKEESPORT OUTPATIENT PHARMACY
HV152132 UPMC PRESBYTERIAN SHADYSIDE
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Covered Entity Details
Entity Name
UPMC PRESBYTERIAN SHADYSIDE
Subdivision Name
Pittsburgh Area Center for Treatment (PACT)
Type
Ryan White Part C
340B ID
HV152132
Entity Address
200 LOTHROP STREET
PITTSBURGH, PA 15213
Grant Number
H76HA25775
Participating Start Date
10/1/2000
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
UPMC MCKEESPORT OUTPATIENT PHARMACY
Pharmacy Address
1500 5TH AVE
1 SHAW
MCKEESPORT, PA 15132-2422
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/7/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Eileen Simmons, CFO
(412) 647-7713
Contract Pharmacy Representative
UPMC McKeesport
WILLIAM R. NICCOLAI, DIRECTOR OF PHARMACY
(412) 664-2318
Signed By Date
7/16/2018
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