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BETHLEHEM PHARMACY RX INC
CHC24158-00 NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY
Subdivision Name
Vida Nueva at Casa Guadalupe
Type
HRSA-Funded Health Center
340B ID
CHC24158-00
Entity Address
218 N 2nd St
Allentown, PA 18102-3508
Grant Number
H80CS24158
Participating Start Date
4/1/2015
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
BETHLEHEM PHARMACY RX INC
Pharmacy Address
817 E 4TH ST APT 1
FL 1
BETHLEHEM, PA 18015
Pharmacy Comments
Contract Details
Approval Date
10/7/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa Miranda Craig, Executive Director and CEO
(610) 841-8400 Ext: 2302
Contract Pharmacy Representative
Bethlehem Pharmacy Rx, Inc
Sridevi Bavirisetty, Vice-President
(609) 915-4999
Signed By Date
10/7/2022
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