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LEHIGH VALLEY PHARMACY SERVICES
HV032130 LEHIGH VALLEY HOSPITAL
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Covered Entity Details
Entity Name
LEHIGH VALLEY HOSPITAL
Subdivision Name
Type
Ryan White Part C
340B ID
HV032130
Entity Address
1627 Chew Street, Third Floor
Allentown, PA 18102
Grant Number
6 H76HA00078-33-04
Participating Start Date
4/1/1996
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LEHIGH VALLEY PHARMACY SERVICES
Pharmacy Address
17TH & CHEW ST
1637 CHEW ST
ALLENTOWN, PA 18102
Pharmacy Comments
10/20/11 changed address line1 and zip from 17th & Chew Streets, 18105 (EMG)
Contract Details
Approval Date
9/5/2001
Contract Begin Date
9/5/2001
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/26/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ronald Swinfard, CEO
(610) 402-7505
Contract Pharmacy Representative
Terry Capuano, Chief Operating Officer
(610) 969-2400
Signed By Date
12/13/2011
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