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GIANT EAGLE PHARMACY #1662
CHC00532-00 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, INC.
Type
HRSA-Funded Health Center
340B ID
CHC00532-00
Entity Address
144 5th Ave
Hyndman, PA 15545
Grant Number
H80CS00532
Participating Start Date
4/1/2010
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
7/2/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
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
7/2/2019
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