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PENNSYLVANIA CVS PHARMACY, L.L.C.
CAH391301-00 MUNCY VALLEY HOSPITAL
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Covered Entity Details
Entity Name
MUNCY VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391301-00
Entity Address
215 E. WATER STREET
MUNCY, PA 17756
Medicare Provider Number
391301
Participating Start Date
1/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01610
201 MUNCY CREEK BLVD.
MUNCY, PA 17756
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger C Yost, CFO, North-Central PA Region
(570) 321-3175
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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