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SAXTON STATION PHARMACY
CH030220 BROAD TOP AREA MEDICAL CENTER
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Covered Entity Details
Entity Name
BROAD TOP AREA MEDICAL CENTER
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH030220
Entity Address
RT 913
BROAD TOP, PA 16621-9001
Grant Number
H80CS00330
Participating Start Date
4/1/2003
Last Recertification Date
1/28/2020
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
SAXTON STATION PHARMACY
Pharmacy Address
509 MAIN STREET
SUITE 102
SAXTON, PA 16678
Pharmacy Comments
Contract Details
Approval Date
10/5/2010
Contract Begin Date
5/3/2013
Carve-In Effective Date
Contract Comments
4/8/14 unterminated CP, which was terminated as a result of the termination of the CE, which has since been unterminated; 5/3/2013 CP reinstated, inactive from 1/30/2012 thru 5/2/2013; 01/30/2012 Terminated at the request of the CE.
Contract Termination Date
Termination Reason
9/30/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GARY SAUERS, CEO
(814) 635-2916
Contract Pharmacy Representative
KEVIN FOOR, OWNER
(814) 635-2221
Signed By Date
9/22/2010
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