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THE MEDICINE SHOPPE
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
THE MEDICINE SHOPPE
Pharmacy Address
730 WASHINGTON ST
HUNTINGDON, PA 16652
Pharmacy Comments
Contract Details
Approval Date
1/18/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Susan A. Fochtman, INTERIM CEO
(814) 635-7351 Ext: 1402
Contract Pharmacy Representative
The Medicine Shoppe
Daniel Brown, Owner
(814) 641-7442
Signed By Date
1/18/2016
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