340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BURRELL PHARMACY
DSH390090E West Penn Hospital
Print
Covered Entity Details
Entity Name
West Penn Hospital
Subdivision Name
WEST PENN HOSPITAL OUTPATIENT SERVICES AT FORBES
Type
Disproportionate Share Hospital
340B ID
DSH390090E
Entity Address
2626 HAYMAKER RD
MONROEVILLE, PA 15146-3516
Medicare Provider Number
390090
Outpatient Facility Provider Number
Participating Start Date
1/1/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
BURRELL PHARMACY
Pharmacy Address
BURRELL HEALTH MART PHARMACY
2889 LEECHBURG RD
LOWER BURRELL, PA 15068-2542
Pharmacy Comments
Contract Details
Approval Date
9/20/2012
Contract Begin Date
9/20/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Duke Rupert, CEO and President
(412) 578-1176
Contract Pharmacy Representative
Don Williams, Vice President
(724) 845-7677
Signed By Date
8/31/2012
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