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CURTIS PHARMACY
CH03170A CENTERVILLE CLINIC INC
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Covered Entity Details
Entity Name
CENTERVILLE CLINIC INC
Subdivision Name
CARMICHAELS CLINIC
Type
HRSA-Funded Health Center
340B ID
CH03170A
Entity Address
601 W George St
Carmichaels, PA 15320-1325
Grant Number
H80CS00705
Participating Start Date
4/1/1995
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
CURTIS PHARMACY
Pharmacy Address
555 ROUTE 88
CARMICHAELS, PA 15320
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barry R Niccolai, Executive Director
(724) 632-6801 Ext: 1100
Contract Pharmacy Representative
CURTIS PHARMACY
ERICH CUSHEY, OWNER
(724) 225-7592
Signed By Date
10/7/2024
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