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RITE AID OF PENNSYLVANIA, LLC
DSH390197 SACRED HEART HOSPITAL
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Covered Entity Details
Entity Name
SACRED HEART HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390197
Entity Address
421 CHEW STREET
ALLENTOWN, PA 18102
Medicare Provider Number
390197
Participating Start Date
7/1/2008
Last Recertification Date
9/10/2020
Entity Termination Date
2/2/2021
Pharmacy Details
Pharmacy Name
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #7836
1401 W TILGHMAN STREET
ALLENTOWN, PA 18102
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/2/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Brian Wessner, Director of Finance
(610) 776-4713
Contract Pharmacy Representative
Rite Aid
David Bell, Rep
(717) 761-2633 Ext: 5311
Signed By Date
7/15/2020
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