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WAGNER'S CLIFFORD PHARMACY
CH030480 B-K HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
B-K HEALTH CENTER, INC.
Subdivision Name
NEPA Community Health Care-Susquehanna Site
Type
HRSA-Funded Health Center
340B ID
CH030480
Entity Address
155 Erie Blvd
Susquehanna, PA 18847-2791
Grant Number
H80CS00420
Participating Start Date
7/1/2005
Last Recertification Date
2/19/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
WAGNER'S CLIFFORD PHARMACY
Pharmacy Address
1638 STATE ROUTE 106
PO BOX 189
CLIFFORD, PA 18413
Pharmacy Comments
Contract Details
Approval Date
1/20/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary W. Wetherall, CEO
(570) 278-5161
Contract Pharmacy Representative
Endless Mountains Pharmacy
William Wagner, President
(570) 222-7500
Signed By Date
1/20/2017
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