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LITITZ APOTHECARY
STD176021 Spanish American Civic Association
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Covered Entity Details
Entity Name
Spanish American Civic Association
Subdivision Name
Nuestra Clinica
Type
Sexually Transmitted Diseases
340B ID
STD176021
Entity Address
453 South Lime Street
Suite A
Lancaster, PA 17602-3652
Grant Number
NH25PS005144
Participating Start Date
10/1/2017
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
LITITZ APOTHECARY
Pharmacy Address
100 E MAIN ST
LITITZ, PA 17543-2010
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/13/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carlos E Graupera, Executive Director
(717) 203-8532
Contract Pharmacy Representative
NCS
Chetan Patel, Pharmacist
(717) 509-6259
Signed By Date
10/15/2019
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