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GIANT EAGLE PHARMACY #0025
CHC11362-00 NORTH SIDE CHRISTIAN HEALTH CENTER
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Covered Entity Details
Entity Name
NORTH SIDE CHRISTIAN HEALTH CENTER
Subdivision Name
North Side Christian Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11362-00
Entity Address
816 Middle Street
Pittsburgh, PA 15212-4915
Grant Number
H80CS12881
Participating Start Date
1/1/2009
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #0025
Pharmacy Address
WEST VIEW PLAZA
1029 WEST VIEW PARK DRIVE
PITTSBURGH, PA 15229
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2015
Agreement registered in error
Contacts
Covered Entity Signing Official
Cynthia Loughman, EXECUTIVE DIRECTOR
(412) 482-6823
Contract Pharmacy Representative
Brett L. Merrell, Senior Vice President, Health & Wellness
(412) 968-1550
Signed By Date
1/15/2014
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