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AHN PHARMACY
HV00808B Allegheny Singer Research Institute
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Covered Entity Details
Entity Name
Allegheny Singer Research Institute
Subdivision Name
Forbes Family Medicine
Type
Ryan White Part C
340B ID
HV00808B
Entity Address
2550 Mosside Blvd
Medical Arts Building Suite 500
Monroeville, PA 15146
Grant Number
H76HA00808
Participating Start Date
1/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AHN PHARMACY
Pharmacy Address
12311 PERRY HWY
SUITE F
WEXFORD, PA 15090-8344
Pharmacy Comments
Contract Details
Approval Date
10/2/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Mark Whiting, President Allegheny Clinic
(412) 330-2497
Contract Pharmacy Representative
Allegheny Health Network
Jennifer Winters, Pharmacist
(844) 277-3482
Signed By Date
10/2/2020
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