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THE MEDICINE SHOPPE
CHC11362-01 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 at Northview
Type
HRSA-Funded Health Center
340B ID
CHC11362-01
Entity Address
525 Mt. Pleasant Road
Pittsburgh, PA 15214-2427
Grant Number
H80CS12881
Participating Start Date
1/1/2009
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE
Pharmacy Address
412 E COMMONS
SUITE 110
PITTSBURGH, PA 15212-5310
Pharmacy Comments
5/19/10 PHARMACY NAME CHANGE; 1/7/10 - SUITE NUMBER CHANGED FROM 100 TO CORRECT TYPO.
Contract Details
Approval Date
6/3/2010
Contract Begin Date
6/3/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/1/2010
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