340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WEIS PHARMACY #30
CH030220Q Broad Top Area Medical Center, Inc., The
Print
Covered Entity Details
Entity Name
Broad Top Area Medical Center, Inc., The
Subdivision Name
Juniata Valley BTAMC Clinic
Type
HRSA-Funded Health Center
340B ID
CH030220Q
Entity Address
846 Medical Center, Drive
Alexandria, PA 16611-2936
Grant Number
H80CS00330
Participating Start Date
1/1/2023
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