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FAMILY PHARMACY OF CARBONDALE INC
CH030480 B-K HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
B-K HEALTH CENTER, INC.
Subdivision Name
NEPA Community Health Care-Susquehanna Site
Type
HRSA-Funded Health Center
340B ID
CH030480
Entity Address
155 Erie Blvd
Susquehanna, PA 18847-2791
Grant Number
H80CS00420
Participating Start Date
7/1/2005
Last Recertification Date
2/19/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
FAMILY PHARMACY OF CARBONDALE INC
Pharmacy Address
70 N CHURCH ST
CARBONDALE, PA 18407
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary W. Wetherall, CEO
(570) 278-5161
Contract Pharmacy Representative
FAMILY PHARMACY OR CARBONDALE
RALPH DATTO, PHARMACIST
(570) 281-6300
Signed By Date
7/17/2018
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