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UPMC WELLSBORO 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
UPMC WELLSBORO PHARMACY
Pharmacy Address
32-36 CENTRAL AVE
WELLSBORO, PA 16901
Pharmacy Comments
Contract Details
Approval Date
7/2/2015
Contract Begin Date
10/1/2015
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
Steven A. Kramer, CEO
(570) 723-0527
Contract Pharmacy Representative
Craig Devenport, Pharmacy Director
(570) 723-0151
Signed By Date
7/2/2015
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