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BRUNDAGE'S WAYMART PHARMACY
CHC08760-20 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Subdivision Name
Waymart Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08760-20
Entity Address
29 Woodlands Dr
Waymart, PA 18472-9366
Grant Number
H80CS08760
Participating Start Date
4/1/2021
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
BRUNDAGE'S WAYMART PHARMACY
Pharmacy Address
238 BELMONT ST
PO BOX 398
WAYMART, PA 18472-9310
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
Brundage's Waymart Pharmacy
Mike Brundage, Owner
(570) 488-7979
Signed By Date
10/13/2023
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