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PHYSICIANS RX PHARMACY OF CLINTON, INC.
CH03075A EAST LIBERTY FAMILY HEALTH CARE CENTER
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Covered Entity Details
Entity Name
EAST LIBERTY FAMILY HEALTH CARE CENTER
Subdivision Name
LINCOLN-LEMINGTON FAM HLTH CARE
Type
HRSA-Funded Health Center
340B ID
CH03075A
Entity Address
7171 Churchland St
Pittsburgh, PA 15206-1217
Grant Number
H80CS00664
Participating Start Date
1/1/2003
Last Recertification Date
2/13/2023
Entity Termination Date
7/1/2023
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
4/7/2016
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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