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EDDYSTONE COMMUNITY PHARMACY
STD18235 Novus Adult Care Services
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Covered Entity Details
Entity Name
Novus Adult Care Services
Subdivision Name
Lehighton
Type
Sexually Transmitted Diseases
340B ID
STD18235
Entity Address
243 South 3rd Street
Lehighton, PA 18235
Grant Number
NH25PS005144
Participating Start Date
4/1/2020
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
EDDYSTONE COMMUNITY PHARMACY
Pharmacy Address
AIDS CARE GROUP
1207B CHESTER PIKE
EDDYSTONE, PA 19022
Pharmacy Comments
Contract Details
Approval Date
3/6/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allen C Smith, owner
(610) 867-5365
Contract Pharmacy Representative
AIDS Care Group
Eric Strauss, Executive Director
(610) 724-6354
Signed By Date
1/13/2020
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