Contract Pharmacy Details

FISHERS PHARMACY
CHC00532-01 HYNDMAN AREA HEALTH CENTER INC

Covered Entity Details

Entity Name

HYNDMAN AREA HEALTH CENTER INC

Subdivision Name

HAHC-Bedford

Type

HRSA-Funded Health Center

340B ID

CHC00532-01

Entity Address

220 S Thomas St
Bedford, PA 15522-1760

Grant Number

H80CS00532

Participating Start Date

4/1/2010

Last Recertification Date

3/7/2016

Entity Termination Date

4/1/2016

Pharmacy Details

Pharmacy Name

FISHERS PHARMACY

Pharmacy Address

654 EAST PITT STREET
PO BOX 346
BEDFORD, PA 15522

Pharmacy Comments

Contract Details

Approval Date

3/2/2012

Contract Begin Date

3/2/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2016

Contacts

Covered Entity Signing Official

John Sniezek, CEO
(814) 842-3206 Ext: 140

Contract Pharmacy Representative

David Whysong, President/CEO
(814) 623-5512

Signed By Date

2/16/2012