Contract Pharmacy Details

FALK PHARMACY
CH03929A UNIVERSITY OF PITTSBURGH THE

Covered Entity Details

Entity Name

UNIVERSITY OF PITTSBURGH THE

Subdivision Name

UPMC Prebyterian Shadyside, Matilda Theiss Health Center

Type

HRSA-Funded Health Center

340B ID

CH03929A

Entity Address

373 Burrows St
Pittsburgh, PA 15213-2201

Grant Number

H80CS00291

Participating Start Date

4/1/2003

Last Recertification Date

1/25/2017

Entity Termination Date

4/1/2018

Pharmacy Details

Pharmacy Name

FALK PHARMACY

Pharmacy Address

3601 5TH AVE STE 211
PITTSBURGH, PA 15213-3403

Pharmacy Comments

Contract Details

Approval Date

9/10/2010

Contract Begin Date

9/10/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2018
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

8/31/2010

340B Drug Pricing Program Database