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HILLMAN CENTER PHARMACY
HV152132 UPMC PRESBYTERIAN SHADYSIDE
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Covered Entity Details
Entity Name
UPMC PRESBYTERIAN SHADYSIDE
Subdivision Name
Pittsburgh Area Center for Treatment (PACT)
Type
Ryan White Part C
340B ID
HV152132
Entity Address
200 LOTHROP STREET
PITTSBURGH, PA 15213
Grant Number
H76HA25775
Participating Start Date
10/1/2000
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
HILLMAN CENTER PHARMACY
Pharmacy Address
5115 CENTRE AVE RM AG30.1
PITTSBURGH, PA 15232
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jared Weiner, CFO, UPMC Presbyterian Shadyside
(412) 864-7000
Contract Pharmacy Representative
UPMC Pinnacle
Kathie Patrick, Manager
(412) 818-7665
Signed By Date
4/12/2021
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