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BOOTHWYN PHARMACY
CHC24148-00 LCH Health and Community Services
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Covered Entity Details
Entity Name
LCH Health and Community Services
Subdivision Name
LCH Health and Community Services
Type
HRSA-Funded Health Center
340B ID
CHC24148-00
Entity Address
731 W Cypress St
Kennett Square, PA 19348-2419
Grant Number
H80CS24148
Participating Start Date
4/1/2015
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
BOOTHWYN PHARMACY
Pharmacy Address
221 GALE LN
KENNETT SQUARE, PA 19348-1735
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
7/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mariana Izraelson, CEO
(610) 444-7550 Ext: 295
Contract Pharmacy Representative
Boothwyn Pharmacy
Louis Micolucci, Owner
(800) 476-7496
Signed By Date
7/15/2020
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