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GEISINGER SPECIALTY PHARMACY
CAH391300-00 GEISINGER JERSEY SHORE HOSPITAL
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Covered Entity Details
Entity Name
GEISINGER JERSEY SHORE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391300-00
Entity Address
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Medicare Provider Number
391300
Participating Start Date
1/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
GEISINGER SPECIALTY PHARMACY
Pharmacy Address
620 BALTIMORE DR
STE 100
WILKES BARRE, PA 18702
Pharmacy Comments
Contract Details
Approval Date
7/1/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/10/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tammy Harding Anderer, Chief Administrative Officer
(570) 398-0100
Contract Pharmacy Representative
Geisinger Health
Ann Marie C Petrochko, Director Pharmacy Services
(570) 808-3339
Signed By Date
7/1/2022
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