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EDDYSTONE COMMUNITY PHARMACY
DSH390025 Kensington Hospital
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Covered Entity Details
Entity Name
Kensington Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390025
Entity Address
136 W. Diamond Street
Philadelphia, PA 19122
Medicare Provider Number
390025
Participating Start Date
7/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
EDDYSTONE COMMUNITY PHARMACY
Pharmacy Address
1207B CHESTERPIKE
EDDYSTONE, PA 19022
Pharmacy Comments
Contract Details
Approval Date
10/15/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/29/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
EILEEN HAUSE, CEO
(215) 426-8100 Ext: 6502
Contract Pharmacy Representative
AIDS Care Group
Eric Strauss, Executive Director
(610) 724-6354
Signed By Date
10/15/2013
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