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PHYSICIANS RX PHARMACY OF CLINTON, INC.
CH030750 EAST LIBERTY FAMILY HEALTH CARE CENTER
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Covered Entity Details
Entity Name
EAST LIBERTY FAMILY HEALTH CARE CENTER
Subdivision Name
EAST LIBERTY FAMILY HEALTH CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH030750
Entity Address
6023 HARVARD STREET
PITTSBURGH, PA 15206-3053
Grant Number
H80CS00664
Participating Start Date
1/1/2002
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
PHYSICIANS RX PHARMACY OF CLINTON, INC.
Pharmacy Address
PHYSICIANS RX PHARMACY CLINTON
9131 PISCATAWAY ROAD
SUITE 670
CLINTON, MD 20735
Pharmacy Comments
Contract Details
Approval Date
4/1/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/5/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Eileen Boyle, CEO
(412) 362-6353
Contract Pharmacy Representative
Donald Smith, CEO
(301) 477-3367
Signed By Date
4/1/2015
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