340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GEISINGER LEWISTOWN HOSPITAL
DSH390048 GEISINGER LEWISTOWN HOSPITAL
Print
Covered Entity Details
Entity Name
GEISINGER LEWISTOWN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390048
Entity Address
400 HIGHLAND AVENUE
LEWISTOWN, PA 17044
Medicare Provider Number
390048
Participating Start Date
1/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
GEISINGER LEWISTOWN HOSPITAL
Pharmacy Address
400 HIGHLAND AVE STE B
LEWISTOWN, PA 17044
Pharmacy Comments
Contract Details
Approval Date
12/10/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Ownership change
Contacts
Covered Entity Signing Official
Michael Anthony Evans, VP Pharmacy CPO
(570) 271-6192
Contract Pharmacy Representative
Geisinger
Jenny D Plummer, Director Retail and Mail Order Pharmacy
(814) 231-4571
Signed By Date
10/15/2024
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