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CENTERWELL PHARMACY, INC.
CAH391314-00 TITUSVILLE AREA HOSPITAL
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Covered Entity Details
Entity Name
TITUSVILLE AREA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391314-00
Entity Address
406 WEST OAK STREET
TITUSVILLE, PA 16354
Medicare Provider Number
391314
Participating Start Date
7/1/2015
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
CENTERWELL PHARMACY, INC.
Pharmacy Address
11010 FLORIDA CROWN DRIVE, SUITE 200
ORLANDO, FL 32824
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/22/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jill A Neely, CFO
(814) 827-8923
Contract Pharmacy Representative
CenterWell Specialty Pharmacy PSA
Jay nmn Duprey, Associate Director - Channel Development
(248) 921-7578
Signed By Date
1/11/2024
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