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PENNSYLVANIA CVS PHARMACY, L.L.C.
CHC08760-08 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Subdivision Name
Carbondale Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08760-08
Entity Address
150 Brooklyn St
Carbondale, PA 18407
Grant Number
H80CS08760
Participating Start Date
7/1/2014
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01600
88 BROOKLYN ST.
CARBONDALE, PA 18407
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert J. Fortuner II, Finance Director
(570) 253-8337
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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