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GIANT EAGLE PHARMACY #1662
CHC00532-02 HYNDMAN AREA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HYNDMAN AREA HEALTH CENTER, INC.
Subdivision Name
Hyndman Area Health Center-Bedford Clinic
Type
HRSA-Funded Health Center
340B ID
CHC00532-02
Entity Address
104 Railroad Street
Bedford, PA 15522
Grant Number
H80CS00532
Participating Start Date
10/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #1662
Pharmacy Address
510 EAST PITT ST
BEDFORD, PA 15522
Pharmacy Comments
Contract Details
Approval Date
4/29/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Jennifer L Kauffman, CFO
(814) 709-9813
Contract Pharmacy Representative
Giant Eagle, Inc.
Mike Bianco, Senior Pharmacy Manager
(412) 967-3718
Signed By Date
4/29/2019
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