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MEDICINE SHOPPE 1865
CH03029C HAMILTON HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HAMILTON HEALTH CENTER, INC.
Subdivision Name
HAMILTON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH03029C
Entity Address
1301 Sycamore St
Harrisburg, PA 17104-3410
Grant Number
H80CS00659
Participating Start Date
4/1/2006
Last Recertification Date
2/16/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
MEDICINE SHOPPE 1865
Pharmacy Address
110 S. 17TH STREET
HARRISBURG, PA 17104
Pharmacy Comments
7/3/2013: OPA request to add DEA number.
Contract Details
Approval Date
4/15/2006
Contract Begin Date
4/15/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/20/2006
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