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PENNSYLVANIA CVS PHARMACY, L.L.C.
DSH390030 Lehigh Valley Hospital - Schuylkill
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Covered Entity Details
Entity Name
Lehigh Valley Hospital - Schuylkill
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390030
Entity Address
420 South Jackson Street
Pottsville, PA 17901-3625
Medicare Provider Number
390030
Participating Start Date
10/1/2018
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17462
912 AIRPORT CENTER DR
ALLENTOWN, PA 18109
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/19/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Stephen Patrick Molitoris, Vice President
(484) 884-0974
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/5/2023
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