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WEIS PHARMACY #198
CAH391316-00 WELLSBORO
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Covered Entity Details
Entity Name
WELLSBORO
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391316-00
Entity Address
32-36 CENTRAL AVENUE
WELLSBORO, PA 16901
Medicare Provider Number
391316
Participating Start Date
4/1/2017
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WEIS PHARMACY #198
Pharmacy Address
11798 ROUTE 6
WELLSBORO, PA 16901
Pharmacy Comments
Contract Details
Approval Date
1/26/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christopher Stockhausen, CFO
(412) 664-2528
Contract Pharmacy Representative
Weis Pharmacy
A Rick Seipp, District Manager
(570) 724-6433
Signed By Date
1/26/2021
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