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COCHRANTON COMMUNITY PHARMACY
CAH391314-00 TITUSVILLE AREA HOSPITAL
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Covered Entity Details
Entity Name
TITUSVILLE AREA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391314-00
Entity Address
406 WEST OAK STREET
TITUSVILLE, PA 16354
Medicare Provider Number
391314
Participating Start Date
7/1/2015
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
COCHRANTON COMMUNITY PHARMACY
Pharmacy Address
180 N FRANKLIN ST STE C
PO BOX 601
COCHRANTON, PA 16314-9706
Pharmacy Comments
Contract Details
Approval Date
10/11/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/6/2025
Ownership change
Contacts
Covered Entity Signing Official
Jill A Neely, CFO
(814) 827-8923
Contract Pharmacy Representative
Cochranton Community Pharmacy
Chad Robinson, PharmD, RPh
(814) 638-0040
Signed By Date
10/11/2022
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