Contract Pharmacy Details

RX PARTNERS-LTC
DSH390002 UPMC MCKEESPORT

Covered Entity Details

Entity Name

UPMC MCKEESPORT

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH390002

Entity Address

1500 FIFTH AVENUE
MCKEESPORT, PA 15132

Medicare Provider Number

390002

Participating Start Date

4/1/2012

Last Recertification Date

8/28/2024

Pharmacy Details

Pharmacy Name

RX PARTNERS-LTC

Pharmacy Address

500 OLD POND RD STE 406
BRIDGEVILLE, PA 15017

Pharmacy Comments

Contract Details

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/9/2021
Agreement registered in error

Contacts

Covered Entity Signing Official

Laurene Timmons, CFO
(412) 664-6781

Contract Pharmacy Representative

UPMC Pinnacle
Kathie Patrick, Manager
(412) 818-7665

Signed By Date

1/15/2020