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KLINGENSMITH'S DRUG STORES # 9
CAH391312-00 BROOKVILLE HOSPITAL
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Covered Entity Details
Entity Name
BROOKVILLE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391312-00
Entity Address
100 HOSPITAL ROAD
BROOKVILLE, PA 15825
Medicare Provider Number
391312
Participating Start Date
1/1/2011
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
KLINGENSMITH'S DRUG STORES # 9
Pharmacy Address
332 BROAD ST
NEW BETHLEHEM, PA 16242-1004
Pharmacy Comments
Contract Details
Approval Date
4/10/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JULIANNE PEER, President
(814) 849-1461
Contract Pharmacy Representative
Klingensmith's Drug Store
Alicia Wolfe, CFO
(724) 763-4024
Signed By Date
4/10/2014
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