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PENNSYLVANIA CVS PHARMACY, L.L.C.
CAH391315-00 Elk Regional Health Center
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Covered Entity Details
Entity Name
Elk Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391315-00
Entity Address
763 Johnsonburg RD
St. Marys, PA 15857
Medicare Provider Number
391315
Participating Start Date
1/1/2017
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01686
236 GRANT STREET
JOHNSONBURG, PA 15845
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laurie MacDonald, Chief Financial Officer
(814) 788-8743
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2021
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