340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BEDFORD ROAD PHARMACY, INC. DBA
CHC06642-02 Western Maryland Health Care Corporation
Print
Covered Entity Details
Entity Name
Western Maryland Health Care Corporation
Subdivision Name
Mountain Laurel Medical Center Westernport
Type
HRSA-Funded Health Center
340B ID
CHC06642-02
Entity Address
22221 Westernport Rd SW
Westernport, MD 21562-2206
Grant Number
H80CS06642
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BEDFORD ROAD PHARMACY, INC. DBA
Pharmacy Address
THE MEDICINE SHOPPE OF GEORGES CREEK
19 MAIN ST
LONACONING, MD 21539-1122
Pharmacy Comments
Contract Details
Approval Date
11/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/27/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Jeremy Wilson, CFO
(301) 533-3300 Ext: 3018
Contract Pharmacy Representative
Medicine Shoppe
Randy Trumbule, Director of Retail Pharmacy
(301) 895-5177
Signed By Date
10/14/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session