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LEHIGH VALLEY PHARMACY SERVICES
FQHCLA431A VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Subdivision Name
Centro de Salud
Type
Health Center Program Look-Alike
340B ID
FQHCLA431A
Entity Address
1627 Chew St
STE 403
Allentown, PA 18102
Grant Number
LALCS45056
Participating Start Date
1/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
LEHIGH VALLEY PHARMACY SERVICES
Pharmacy Address
17TH & CHEW ST
1637 CHEW ST
ALLENTOWN, PA 18102
Pharmacy Comments
10/20/11 changed address line1 and zip from 17th & Chew Streets, 18105 (EMG)
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Veronica Gonzalez, Chief Executive Officer
(610) 969-2728
Contract Pharmacy Representative
Lehigh Valley Pharmacy Services
Lauren Grantz, Administrator, Outpatient Pharmacy
(610) 402-5294
Signed By Date
1/17/2023
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