340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PENNSYLVANIA CVS PHARMACY, L.L.C.
CAH391312-00 BROOKVILLE HOSPITAL
Print
Covered Entity Details
Entity Name
BROOKVILLE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391312-00
Entity Address
100 HOSPITAL ROAD
BROOKVILLE, PA 15825
Medicare Provider Number
391312
Participating Start Date
1/1/2011
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01919
815 N. FRONT ST.
PHILIPSBURG, PA 16866
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JULIANNE PEER, President
(814) 849-1461
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session