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BEDFORD ROAD PHARMACY INC DBA
CH03160C TRI-STATE COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
TRI-STATE COMMUNITY HEALTH CENTER
Subdivision Name
Tri-State Women's Health Center
Type
HRSA-Funded Health Center
340B ID
CH03160C
Entity Address
12502 Willowbrook Avenue
Suite 550
Cumberland, MD 21502
Grant Number
H80CS00069
Participating Start Date
11/14/2005
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
BEDFORD ROAD PHARMACY INC DBA
Pharmacy Address
PHARMACARE OF CUMBERLAND
PHARMACARE OF CUMBERLAND
64 GREENE STREET
CUMBERLAND, MD 21502
Pharmacy Comments
Contract Details
Approval Date
1/1/2007
Contract Begin Date
1/1/2007
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
11/29/2006
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