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GOOD HEALTH PHARMACY , INC.
CHC08760-00 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC08760-00
Entity Address
600 Maple Ave
6
HONESDALE, PA 18431
Grant Number
H80CS08760
Participating Start Date
1/1/2010
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
GOOD HEALTH PHARMACY , INC.
Pharmacy Address
CSB PHARMACY, INC.
1592 ROUTE 739 STE 2
DINGMANS FERRY, PA 18328
Pharmacy Comments
Contract Details
Approval Date
12/6/2012
Contract Begin Date
12/6/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Pacheco, COO
(570) 253-8206
Contract Pharmacy Representative
Karthik Dhama, Pharmacy Owner
(516) 233-1986
Signed By Date
10/10/2012
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