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THE PRESCRIPTION CENTER-CHERRY STREET
CHC00074-00 SCRANTON PRIMARY HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
SCRANTON PRIMARY HEALTH CARE CENTER, INC.
Subdivision Name
SCRANTON PRIMARY HEALTH CARE CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CHC00074-00
Entity Address
959 Wyoming Ave
Scranton, PA 18509-3023
Grant Number
H80CS00074
Participating Start Date
4/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THE PRESCRIPTION CENTER-CHERRY STREET
Pharmacy Address
329 CHERRY STREET SUITE 1A
SCRANTON, PA 18505
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph H. Hollander, Chief Executive Officer
(570) 344-3517
Contract Pharmacy Representative
The Prescription Center
Michael Ruane II, Pharm D
(570) 343-2448
Signed By Date
10/11/2021
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