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GIANT EAGLE PHARMACY #8991
DSH390041 UNIONTOWN HOSPITAL
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Covered Entity Details
Entity Name
UNIONTOWN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390041
Entity Address
500 WEST BERKELEY STREET
UNIONTOWN, PA 15401
Medicare Provider Number
390041
Participating Start Date
4/1/2005
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #8991
Pharmacy Address
2500 LOVI RD
FREEDOM, PA 15042
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
Barbara A. Weiss, Executive Director, Finance/CFO
(724) 430-5222
Contract Pharmacy Representative
Giant Eagle, Inc.
Mike Bianco, Senior Pharmacy Manager
(412) 967-3718
Signed By Date
1/15/2021
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