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THE PRESCRIPTION CENTER
RRC390001-00 COMMUNITY MEDICAL CENTER
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Covered Entity Details
Entity Name
COMMUNITY MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC390001-00
Entity Address
1800 MULBERRY STREET
SCRANTON, PA 18510
Medicare Provider Number
390001
Participating Start Date
1/1/2024
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
THE PRESCRIPTION CENTER
Pharmacy Address
310 ADAMS AVE
SCRANTON, PA 18503
Pharmacy Comments
02/27/2014 - Pharmacy name and address correction, changed in error on 3/28/2013, see history for details
Contract Details
Approval Date
4/5/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ron Beer, Chief Admiistrative Officer
(570) 808-5380
Contract Pharmacy Representative
The Prescription Center
Michael Ruane II, Pharm D
(570) 343-2448
Signed By Date
4/5/2021
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