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STAUFFERS DRUG STORE
CHC00495-11 Union Community Care
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Covered Entity Details
Entity Name
Union Community Care
Subdivision Name
Lancaster Southeast - (Medical, Dental & Pharmacy)
Type
HRSA-Funded Health Center
340B ID
CHC00495-11
Entity Address
625 S Duke St
Lancaster, PA 17602-4509
Grant Number
H80CS00495
Participating Start Date
6/1/2021
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
STAUFFERS DRUG STORE
Pharmacy Address
149 E MAIN ST
NEW HOLLAND, PA 17557
Pharmacy Comments
Contract Details
Approval Date
7/7/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alisa Jones, CEO
(717) 945-1551
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/7/2021
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