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PORT ALLEGANY PHARMACY
CAH391313-00 CHARLES COLE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CHARLES COLE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391313-00
Entity Address
1001 EAST 2ND STREET
COUDERSPORT, PA 16915
Medicare Provider Number
391313
Participating Start Date
8/25/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
PORT ALLEGANY PHARMACY
Pharmacy Address
54-56 N MAIN ST
PORT ALLEGANY, PA 16743-1674
Pharmacy Comments
Contract Details
Approval Date
2/7/2012
Contract Begin Date
3/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/3/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
EDWARD C PITCHFORD, PRESIDENT & CEO
(814) 260-5216
Contract Pharmacy Representative
Scott J. Newton, President
(814) 642-2871
Signed By Date
2/1/2012
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