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SUSQUEHANNA HEALTH PHARMACY
RRC390045-00 WILLIAMSPORT HOSPITAL & MEDICAL CTR
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Covered Entity Details
Entity Name
WILLIAMSPORT HOSPITAL & MEDICAL CTR
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390045-00
Entity Address
700 HIGH STREET
WILLIAMSPORT, PA 17701
Medicare Provider Number
390045
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
SUSQUEHANNA HEALTH PHARMACY
Pharmacy Address
740 HIGH ST STE 1001
WILLIAMSPORT, PA 17701
Pharmacy Comments
Contract Details
Approval Date
1/13/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christopher Stockhausen, CFO
(412) 664-2528
Contract Pharmacy Representative
UPMC
Lisa Rossi, Director, UPMC Retail Pharmacy Network
(412) 438-5049
Signed By Date
1/13/2021
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