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WAL-MART PHARMACY 10-2049
SCH390056-00 PENN HIGHLANDS HUNTINGDON
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Covered Entity Details
Entity Name
PENN HIGHLANDS HUNTINGDON
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH390056-00
Entity Address
1225 WARM SPRINGS AVENUE
HUNTINGDON, PA 16652-2350
Medicare Provider Number
390056
Participating Start Date
7/21/2021
Last Recertification Date
8/15/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2049
Pharmacy Address
2600 PLANK RD COMMONS
ALTOONA, PA 16602
Pharmacy Comments
Contract Details
Approval Date
4/6/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/24/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah A. Shughart, CHIEF FINANCIAL OFFICER
(814) 643-8445
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/6/2015
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