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DARLING'S SUGAR GROVE HEALTHMART PHARMAC
DSH390146 WARREN GENERAL HOSPITAL
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Covered Entity Details
Entity Name
WARREN GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390146
Entity Address
2 CRESCENT PARK WEST
WARREN, PA 16365
Medicare Provider Number
390146
Participating Start Date
1/1/2019
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
DARLING'S SUGAR GROVE HEALTHMART PHARMAC
Pharmacy Address
17 FOREST STREET
PO BOX 316
SUGAR GROVE, PA 16350
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
4/24/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathryn E. Carlson, Executive Director of Operations
(814) 723-4973 Ext: 1370
Contract Pharmacy Representative
Darling Apothecary LLC
Chris Darling, Owner
(814) 688-0113
Signed By Date
4/13/2020
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