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GREENVILLE PHARMACY
CH03406A PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
FARRELL HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH03406A
Entity Address
602 Roemer Blvd
Farrell, PA 16121-1902
Grant Number
H80CS00663
Participating Start Date
1/1/2003
Last Recertification Date
2/26/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
GREENVILLE PHARMACY
Pharmacy Address
SLW & BCW ENTERPRISES, INC.
43 WILLIAMSON RD STE 1
GREENVILLE, PA 16125
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Drew C. Pierce, CEO
(724) 342-3002 Ext: 1506
Contract Pharmacy Representative
Bretton C. Wallberg, Owner
(724) 373-8533
Signed By Date
4/15/2015
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