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UNION CITY PHARMACY
CAH391308-00 CORRY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CORRY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391308-00
Entity Address
965 SHAMROCK LANE
CORRY, PA 16407
Medicare Provider Number
391308
Participating Start Date
7/1/2015
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
UNION CITY PHARMACY
Pharmacy Address
16395 ROUTE 8
UNION CITY, PA 16438
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/23/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Heller, Chief Financial Officer
(814) 664-4641 Ext: 1040
Contract Pharmacy Representative
Union City Pharmacy
Tom Reichert, Owner
(814) 438-7570
Signed By Date
10/15/2020
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