340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ASTIS WASHINGTON PHARMACY
STD15001 Central Outreach Wellness Center, LLC
Print
Covered Entity Details
Entity Name
Central Outreach Wellness Center, LLC
Subdivision Name
Central Outreach Wellness Center, LLC Beaver County
Type
Sexually Transmitted Diseases
340B ID
STD15001
Entity Address
2360 Hospital Drive
suite 1
Aliquippa, PA 15001
Grant Number
NH25PS005144
Participating Start Date
7/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
ASTIS WASHINGTON PHARMACY
Pharmacy Address
817 JEFFERSON AVE
SUITE 101
WASHINGTON, PA 15301
Pharmacy Comments
Contract Details
Approval Date
1/7/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stacy Lane, Owner
(412) 608-8313
Contract Pharmacy Representative
Asti's Pharmacy
Samantha Pitzarella, Director of Operations
(412) 561-2503
Signed By Date
1/7/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session