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CHARTWELL PENNSYLVANIA
RRC390067-00 PINNACLE HEALTH HOSPITALS
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Covered Entity Details
Entity Name
PINNACLE HEALTH HOSPITALS
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390067-00
Entity Address
111 South Front Street
HARRISBURG, PA 17101
Medicare Provider Number
390067
Participating Start Date
10/1/2017
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
CHARTWELL PENNSYLVANIA
Pharmacy Address
1001 OAKDALE RD
OAKDALE, PA 15071-1502
Pharmacy Comments
Contract Details
Approval Date
4/29/2019
Contract Begin Date
4/29/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Pugh, Chief Financial Officer
(717) 782-3131
Contract Pharmacy Representative
UPMC Pinnacle
Kathie Patrick, Manager
(412) 818-7665
Signed By Date
4/29/2019
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