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RITE AID OF PENNSYLVANIA, LLC
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
RITE AID OF PENNSYLVANIA, LLC
Pharmacy Address
RITE AID #2466
10 DONNER AVENUE
MONESSEN, PA 15062
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
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
PDS I Michigan, Inc
Allison Farrell, Senior Vice President
(717) 214-8834
Signed By Date
4/7/2015
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