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BUCHANAN BROTHERS PHARMACY
CH031220 N PENN COMPREHENSIVE HEALTH SVCS
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Covered Entity Details
Entity Name
N PENN COMPREHENSIVE HEALTH SVCS
Subdivision Name
North Penn Comprehensive Health Services, Laurel Health Center Administration
Type
HRSA-Funded Health Center
340B ID
CH031220
Entity Address
40 W. Wellsboro St
Mansfield, PA 16933
Grant Number
H80CS00682
Participating Start Date
1/1/2009
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
BUCHANAN BROTHERS PHARMACY
Pharmacy Address
122 W MAIN ST
WESTFIELD, PA 16950-1522
Pharmacy Comments
Contract Details
Approval Date
11/1/2011
Contract Begin Date
11/11/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ferlin E. Patrick, Director of Physician Practices
(570) 723-0527
Contract Pharmacy Representative
Buchanan Bros Phcy
Joe Marzo, Owner / Pharmacist
(514) 258-7332
Signed By Date
10/24/2011
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