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DEPIETRO'S PHARMACY
FQHCLA394 Wright Center Medical Group
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Covered Entity Details
Entity Name
Wright Center Medical Group
Subdivision Name
The Wright Center for Community Health Scranton Practice
Type
Health Center Program Look-Alike
340B ID
FQHCLA394
Entity Address
501 S Washington Ave
1000
Scranton, PA 18505-3814
Grant Number
LALCS33109
Participating Start Date
10/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
DEPIETRO'S PHARMACY
Pharmacy Address
617 3RD ST
DUNMORE, PA 18512-2849
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/12/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jignesh Sheth, Senior VP for Clinical Operations
(570) 687-4232
Contract Pharmacy Representative
DePietro's Pharmacy
Tom DePietro, Pharmacist
(570) 209-7440
Signed By Date
10/3/2019
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