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GIANT EAGLE PHARMACY #0071
CAH391307-00 TYRONE HOSPITAL
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Covered Entity Details
Entity Name
TYRONE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391307-00
Entity Address
187 HOSPITAL DRIVE
TYRONE, PA 16686
Medicare Provider Number
391307
Participating Start Date
9/23/2010
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #0071
Pharmacy Address
181 SOPHIRA LANE
ALTOONA, PA 16602
Pharmacy Comments
Contract Details
Approval Date
7/12/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SHARON A. FISHER, CNO
(814) 880-3456
Contract Pharmacy Representative
Giant Eagle, Inc.
Mike Bianco, Senior Pharmacy Manager
(412) 967-3718
Signed By Date
7/12/2016
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