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PENNSYLVANIA CVS PHARMACY, L.L.C.
CH03122P North Penn Comprehensive Health Services
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Covered Entity Details
Entity Name
North Penn Comprehensive Health Services
Subdivision Name
Laurel Dental - Blossburg
Type
HRSA-Funded Health Center
340B ID
CH03122P
Entity Address
116 Seymour St
Blossburg, PA 16912-1418
Grant Number
H80CS00682
Participating Start Date
10/1/2021
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01891
64 S. LOCUST ST
SUITE 180
HAZLETON, PA 18201
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
Ronald M Gilbert, CFO
(570) 828-3869
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
10/16/2023
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