Contract Pharmacy Details

WEIS PHARMACY 38
CH03270F KEYSTONE RURAL HEALTH CENTER

Covered Entity Details

Entity Name

KEYSTONE RURAL HEALTH CENTER

Subdivision Name

Keystone Women's Care

Type

HRSA-Funded Health Center

340B ID

CH03270F

Entity Address

830 5th Ave STE 202
Chambersburg, PA 17201-4219

Grant Number

H80CS00076

Participating Start Date

4/1/2007

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WEIS PHARMACY 38

Pharmacy Address

1075 WEST KING STREET
SHIPPENSBURG, PA 17257

Pharmacy Comments

Contract Details

Approval Date

1/15/2010

Contract Begin Date

1/15/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/9/2022
Agreement registered in error

Contacts

Covered Entity Signing Official

JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906

Contract Pharmacy Representative

Signed By Date

1/12/2010