340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARTIN'S PHARMACY #6466
CH030220H 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 Walk in Clinic
Type
HRSA-Funded Health Center
340B ID
CH030220H
Entity Address
6678 Towne Center Blvd.
Huntingdon, PA 16652-6934
Grant Number
H80CS00330
Participating Start Date
10/1/2018
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MARTIN'S PHARMACY #6466
Pharmacy Address
GIANT FOOD STORES, LLC
1000 LOGAN BOULEVARD, SUITE 108
ALTOONA, PA 16602
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Roth, CEO
(814) 635-7351
Contract Pharmacy Representative
The Giant Company
Nick Koch, Regional Pharmacy Manager
(484) 655-0805
Signed By Date
4/11/2025
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