340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FAMILY PHARMACY OF CARBONDALE INC
CH03048G B-K Health Center, Inc.
Print
Covered Entity Details
Entity Name
B-K Health Center, Inc.
Subdivision Name
Matthew W. Stahl Memorial Health Center
Type
HRSA-Funded Health Center
340B ID
CH03048G
Entity Address
498 S Main St, Ste D
Montrose, PA 18801-1880
Grant Number
H80CS00420
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FAMILY PHARMACY OF CARBONDALE INC
Pharmacy Address
70 N CHURCH ST
CARBONDALE, PA 18407
Pharmacy Comments
Contract Details
Approval Date
8/20/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/28/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mary W. Wetherall, CEO
(570) 278-5161
Contract Pharmacy Representative
FAMILY PHARMACY OR CARBONDALE
RALPH DATTO, PHARMACIST
(570) 281-6300
Signed By Date
8/20/2020
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