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HORIZON HEALTHCARE SERVICES
DSH390256 MILTON S. HERSHEY MEDICAL CENTER
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Covered Entity Details
Entity Name
MILTON S. HERSHEY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390256
Entity Address
500 UNIVERSITY DRIVE
HERSHEY, PA 17033
Medicare Provider Number
390256
Participating Start Date
4/1/2004
Last Recertification Date
9/24/2024
Pharmacy Details
Pharmacy Name
HORIZON HEALTHCARE SERVICES
Pharmacy Address
HORIZON HEALTHCARE SERVICES
1070 NEW HOLLAND AVE
LANCASTER, PA 17601-5606
Pharmacy Comments
Contract Details
Approval Date
7/15/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/21/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
KEVIN J. HALEY, CHIEF FINANCIAL OFFICER
(717) 531-8405
Contract Pharmacy Representative
Ighealth
Peter Steele, Manger, Pharmacy Services
(717) 544-3590 Ext: 80251
Signed By Date
7/15/2013
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