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STAUFFERS DRUG STORE LEBANON
CHC00495-00 Union Community Care
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Covered Entity Details
Entity Name
Union Community Care
Subdivision Name
Lebanon Medical and Pharmacy
Type
HRSA-Funded Health Center
340B ID
CHC00495-00
Entity Address
920 Church St
Lebanon, PA 17046-4656
Grant Number
H80CS00495
Participating Start Date
10/1/2013
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
STAUFFERS DRUG STORE LEBANON
Pharmacy Address
920 CHURCH ST
STE 100
LEBANON, PA 17046-4656
Pharmacy Comments
Contract Details
Approval Date
4/10/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/6/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Jackie Concepcion, CEO
(717) 354-4711 Ext: 136
Contract Pharmacy Representative
Stauffers Pharmacy
Josh Stauffer, Pharmacist
(717) 355-9300
Signed By Date
4/10/2019
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