340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UPMC WELLSBORO PHARMACY
CH03122K N PENN COMPREHENSIVE HEALTH SVCS
Print
Covered Entity Details
Entity Name
N PENN COMPREHENSIVE HEALTH SVCS
Subdivision Name
MANSFIELD LAUREL HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH03122K
Entity Address
416 South Main Street
Mansfield, PA 16933
Grant Number
H80CS00682
Participating Start Date
1/1/2009
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
UPMC WELLSBORO PHARMACY
Pharmacy Address
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Pharmacy Comments
Contract Details
Approval Date
5/1/2009
Contract Begin Date
5/1/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/13/2009
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