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ASTIS SOUTH HILLS 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
ASTIS SOUTH HILLS PHARMACY
Pharmacy Address
250 MT LEBANON BLVD
PITTSBURGH, PA 15234
Pharmacy Comments
Contract Details
Approval Date
4/16/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eileen Simmons, CFO
(412) 647-7713
Contract Pharmacy Representative
Asti's South Hills Pharmacy
Christopher Antypas, President & Chief Operating Officer
(412) 561-2347
Signed By Date
4/16/2014
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