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THE MEDICINE SHOPPE
CH03362B LANCASTER HEALTH CENTER
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Covered Entity Details
Entity Name
LANCASTER HEALTH CENTER
Subdivision Name
Lancaster Health Center - Water Street
Type
HRSA-Funded Health Center
340B ID
CH03362B
Entity Address
304 North Water St
Lancaster, PA 17603-3374
Grant Number
H80CS00686
Participating Start Date
7/1/2010
Last Recertification Date
2/4/2021
Entity Termination Date
7/1/2021
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE
Pharmacy Address
625 S DUKE STREET
LANCASTER, PA 17602
Pharmacy Comments
Contract Details
Approval Date
4/4/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Hilda Shirk, CEO
(717) 299-6372 Ext: 11051
Contract Pharmacy Representative
CL Cressler Inc
Helen Clark, Chief Operating Officer
(717) 766-6191
Signed By Date
4/4/2014
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