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PENNSYLVANIA CVS PHARMACY, L.L.C.
CH03406B PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
SHARON MEDICAL GROUP
Type
HRSA-Funded Health Center
340B ID
CH03406B
Entity Address
63 Pitt St
Sharon, PA 16146
Grant Number
H80CS00663
Participating Start Date
7/1/2002
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04000
2501 WARREN RD
INDIANA, PA 15701
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennie Slabe, Chief Information Officer
(724) 342-3002 Ext: 1505
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2022
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