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PETROLIA PHARMACY
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
PETROLIA PHARMACY
Pharmacy Address
296 CHURCH ST
PETROLIA, PA 16050
Pharmacy Comments
Contract Details
Approval Date
2/14/2019
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
Care-Fill LTC
Bretton Walberg, President
(724) 588-6337
Signed By Date
2/14/2019
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