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VANDERGRIFT PHARMACY INC
DSH390090 West Penn Hospital
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Covered Entity Details
Entity Name
West Penn Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390090
Entity Address
4800 FRIENDSHIP AVE
PITTSBURGH, PA 15224-1722
Medicare Provider Number
390090
Participating Start Date
10/20/2005
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
VANDERGRIFT PHARMACY INC
Pharmacy Address
VANDERGRIFT HEALTHMART PHARMACY
224 LONGFELLOW ST
VANDERGRIFT, PA 15690-1476
Pharmacy Comments
Contract Details
Approval Date
12/10/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Duke Rupert, CEO and President
(412) 578-1176
Contract Pharmacy Representative
Alex Micklow, Secretary
(724) 842-1771
Signed By Date
10/18/2012
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