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DIERKEN'S PHARMACY
FQHCLA189 MON VALLEY COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
MON VALLEY COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
SPHS FAMILY HEALTH COMPLEX
Type
Health Center Program Look-Alike
340B ID
FQHCLA189
Entity Address
2 EASTGATE AVENUE
MONESSEN, PA 15062
Grant Number
LALCS00065
Participating Start Date
9/9/2005
Last Recertification Date
2/8/2019
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
DIERKEN'S PHARMACY
Pharmacy Address
100 EAST MAIN STREET
MONONGAHELA, PA 15063
Pharmacy Comments
Contract Details
Approval Date
10/15/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
3/31/14 CE was terminated in error and CP termination cascaded from there, both were "unterminated" 3/31/14
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
LUTHER SHEETS, COO
(724) 489-3100 Ext: 4114
Contract Pharmacy Representative
The Hometown Pharmacy
Melissa Joseph, VP of Strategic Solutions
(330) 318-3926
Signed By Date
10/15/2013
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