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WAL-MART PHARMACY 10-2664
CH03406B PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
SHARON MEDICAL GROUP
Type
HRSA-Funded Health Center
340B ID
CH03406B
Entity Address
63 Pitt St
Sharon, PA 16146
Grant Number
H80CS00663
Participating Start Date
7/1/2002
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2664
Pharmacy Address
21920 ROUTE #119
PUNXSUTAWNEY, PA 15767
Pharmacy Comments
Contract Details
Approval Date
2/13/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Drew C. Pierce, CEO
(724) 342-3002 Ext: 1506
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
2/13/2019
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