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EAST GOSHEN PHARMACY, LLC
HM8764 HEMOPHILIA CTR OF CENTRAL PENNSYLVANIA
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Covered Entity Details
Entity Name
HEMOPHILIA CTR OF CENTRAL PENNSYLVANIA
Subdivision Name
THE MILTON S. HERSHEY MEDICAL CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM8764
Entity Address
500 University Drive
HERSHEY, PA 17033
Grant Number
H30MC48960
Participating Start Date
1/1/2000
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
EAST GOSHEN PHARMACY, LLC
Pharmacy Address
DBA BIOSCRIP INFUSION SERVICES
970 RITTENHOUSE RD STE 200
AUDUBON, PA 19403
Pharmacy Comments
Contract Details
Approval Date
10/9/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula Marie Tinch, CFO & EVP Finance, PSH
(717) 531-1788
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
10/9/2020
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