Contract Pharmacy Details

GIANT EAGLE SPECIALTY #0232
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

GIANT EAGLE SPECIALTY #0232

Pharmacy Address

600 LINDBERGH DRIVE
SUITE 300
MOON TOWNSHIP, PA 15108

Pharmacy Comments

Contract Details

Approval Date

4/14/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/21/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Rodney B. Jones Sr., CEO
(412) 362-6353

Contract Pharmacy Representative

Mike Bianco, Senior Pharmacy Manager
(412) 967-3718

Signed By Date

4/14/2016

340B Drug Pricing Program Database