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HEALTH SERVICES PHARMACY
CAH391301-00 MUNCY VALLEY HOSPITAL
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Covered Entity Details
Entity Name
MUNCY VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391301-00
Entity Address
215 E. WATER STREET
MUNCY, PA 17756
Medicare Provider Number
391301
Participating Start Date
1/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HEALTH SERVICES PHARMACY
Pharmacy Address
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Pharmacy Comments
Contract Details
Approval Date
4/6/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/9/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ronald J. Reynolds, President
(570) 546-4242
Contract Pharmacy Representative
UPMC Susquehanna
Julie A Barner, Director of Pharmacy
(570) 321-3295
Signed By Date
4/6/2013
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