Contract Pharmacy Details

PHYSICIAN'S RX PHARMACY, LLC
CH03075A EAST LIBERTY FAMILY HEALTH CARE CENTER

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

PHYSICIAN'S RX PHARMACY, LLC

Pharmacy Address

PHYSICIANS RX PHARMACY, LLC
9701 APOLLO DRIVE
#400
LARGO, MD 20774

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

340B Drug Pricing Program Database