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ALTRUIX
CH03048G B-K Health Center, Inc.
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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
ALTRUIX
Pharmacy Address
3800 HORIZON BLVD STE 103
TREVOSE, PA 19053
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
2/9/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mary W. Wetherall, CEO
(570) 278-5161
Contract Pharmacy Representative
BANKS APOTHECARY
LISA CARROLL, ADMINISTRATOR
(215) 494-9403
Signed By Date
8/20/2020
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