Contract Pharmacy Details

SAVAGE FAMILY PHARMACY
CH032700 KEYSTONE RURAL HEALTH CENTER

Covered Entity Details

Entity Name

KEYSTONE RURAL HEALTH CENTER

Subdivision Name

ADMINISTRATION

Type

HRSA-Funded Health Center

340B ID

CH032700

Entity Address

111 Chambers Hill Drive, Suite 200
CHAMBERSBURG, PA 17201

Grant Number

H80CS00076

Participating Start Date

1/1/2000

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

SAVAGE FAMILY PHARMACY

Pharmacy Address

604 E MAIN ST
WAYNESBORO, PA 17268

Pharmacy Comments

Contract Details

Approval Date

12/5/2011

Contract Begin Date

12/5/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/4/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906

Contract Pharmacy Representative

Roger Savage, Owner
(717) 762-2915

Signed By Date

11/17/2011

340B Drug Pricing Program Database