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DARLING'S PHARMACY
CH03406AV PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
Wayne Primary Care
Type
HRSA-Funded Health Center
340B ID
CH03406AV
Entity Address
650 EAST AVE
ERIE, PA 16503-1524
Grant Number
H80CS00663
Participating Start Date
7/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
DARLING'S PHARMACY
Pharmacy Address
650 EAST AVENUE, SUITE 112
ERIE, PA 16503
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Jennie Slabe, Chief Information Officer
(724) 342-3002 Ext: 1505
Contract Pharmacy Representative
Darling Apothecary LLC
Chris Darling, Owner
(814) 688-0113
Signed By Date
10/13/2023
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