340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GEISINGER HOME INFUSION SVCS.
DSH390048 GEISINGER LEWISTOWN HOSPITAL
Print
Covered Entity Details
Entity Name
GEISINGER LEWISTOWN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390048
Entity Address
400 HIGHLAND AVENUE
LEWISTOWN, PA 17044
Medicare Provider Number
390048
Participating Start Date
1/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
GEISINGER HOME INFUSION SVCS.
Pharmacy Address
GEISINGER PHARMACY, LLC
428 WINDMERE DR
STATE COLLEGE, PA 16801
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kirk E Thomas, Chief Administrative Officer
(717) 242-7102
Contract Pharmacy Representative
Geisinger Health
Ron Zsido, Pharmacy Manager
(570) 214-6730
Signed By Date
1/17/2022
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