340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WEIS PHARMACY #30
CH030220B BROAD TOP AREA MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
BROAD TOP AREA MEDICAL CENTER, INC.
Subdivision Name
Broad Top Area Medical Center Primary Care Center
Type
HRSA-Funded Health Center
340B ID
CH030220B
Entity Address
790 Bryan Street, Suite 1
Huntingdon, PA 16652-2410
Grant Number
H80CS00330
Participating Start Date
4/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WEIS PHARMACY #30
Pharmacy Address
611 15TH ST
HUNTINGDON, PA 16652
Pharmacy Comments
Contract Details
Approval Date
7/14/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Roth, CEO
(814) 635-7351
Contract Pharmacy Representative
Weis Markets
Nick Cicco, Vice President of Pharmacy
(570) 286-3201
Signed By Date
7/14/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session