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PENNSYLVANIA CVS PHARMACY, L.L.C.
CH03122Q North Penn Comprehensive Health Services
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Covered Entity Details
Entity Name
North Penn Comprehensive Health Services
Subdivision Name
Troy Laurel Health Center
Type
HRSA-Funded Health Center
340B ID
CH03122Q
Entity Address
45 Mud Creek Rd
Troy, PA 16947-9529
Grant Number
H80CS00682
Participating Start Date
10/1/2021
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01600
88 BROOKLYN ST.
CARBONDALE, PA 18407
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
Ronald M Gilbert, CFO
(570) 828-3869
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
10/11/2021
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