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AHN PHARMACY
DSH390009 SAINT VINCENT HEALTH CENTER
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Covered Entity Details
Entity Name
SAINT VINCENT HEALTH CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390009
Entity Address
232 WEST 25TH STREET
ERIE, PA 16544-0002
Medicare Provider Number
390009
Participating Start Date
7/1/2008
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
AHN PHARMACY
Pharmacy Address
12311 PERRY HWY
SUITE F
WEXFORD, PA 15090-8344
Pharmacy Comments
Contract Details
Approval Date
7/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RANDOLPH LEVIS, CFO
(814) 452-5132
Contract Pharmacy Representative
Allegheny Health Network
Laura Mark, VP Pharmacy
(412) 359-4745
Signed By Date
7/6/2020
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