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MILLERSBURG PHARMACY INC
CH03029J Hamilton Health Center, Inc.
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Covered Entity Details
Entity Name
Hamilton Health Center, Inc.
Subdivision Name
Hamilton Family Care at Millersburg
Type
HRSA-Funded Health Center
340B ID
CH03029J
Entity Address
1000 Evelyn Dr
Millersburg, PA 17061-1258
Grant Number
H80CS00659
Participating Start Date
4/1/2023
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
MILLERSBURG PHARMACY INC
Pharmacy Address
242 MARKET ST
MILLERSBURG, PA 17061
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JEANNINE PETERSON, EXECUTIVE DIRECTOR
(717) 230-3910
Contract Pharmacy Representative
Millersburg Pharmacy
Mark McAlanis, Owner/Pharmacist
(717) 692-2161
Signed By Date
10/13/2022
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