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GIANT EAGLE PHARMACY #0016
CHC00532-03 HYNDMAN AREA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HYNDMAN AREA HEALTH CENTER, INC.
Subdivision Name
Hyndman Area Health Center (Richland Township)
Type
HRSA-Funded Health Center
340B ID
CHC00532-03
Entity Address
203 College Park Plz
Johnstown, PA 15904-2833
Grant Number
H80CS00532
Participating Start Date
1/1/2021
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #0016
Pharmacy Address
1451 SCALP AVENUE
JOHNSTOWN, PA 15904
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer L Kauffman, CFO
(814) 709-9813
Contract Pharmacy Representative
Giant Eagle, Inc.
Mike Bianco, Senior Pharmacy Manager
(412) 967-3718
Signed By Date
10/15/2021
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