340B Drug Pricing Program Database

Pharmacy Name

GIANT EAGLE PHARMACY #0080

Pharmacy Address

40 WHITE STREET
BROOKVILLE, PA 15825

Pharmacy Comments

Approval Date

10/23/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

JULIANNE PEER, President
(814) 849-1461

Contract Pharmacy Representative

Debra Krasnow, Director of Managed Care
(412) 968-1550

Signed By Date

10/23/2014