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THE PRESCRIPTION CENTER-CHERRY STREET
CH03122L N Penn Comprehensive Health Svcs
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Covered Entity Details
Entity Name
N Penn Comprehensive Health Svcs
Subdivision Name
Wellsboro Laurel Pediatric Center
Type
HRSA-Funded Health Center
340B ID
CH03122L
Entity Address
1B Main St
Wellsboro, PA 16901-1601
Grant Number
H80CS00682
Participating Start Date
1/1/2020
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
THE PRESCRIPTION CENTER-CHERRY STREET
Pharmacy Address
329 CHERRY STREET SUITE 1A
SCRANTON, PA 18505
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald M Gilbert, CFO
(570) 828-3869
Contract Pharmacy Representative
The Prescription Center
Michael P Ruane II, Pharmacist/Owner
(570) 209-9900
Signed By Date
4/15/2025
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