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ROCHESTER HEALTH MART PHARMACY
CH03406AU PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
Rochester Health Center
Type
HRSA-Funded Health Center
340B ID
CH03406AU
Entity Address
176 VIRGINIA AVE
ROCHESTER, PA 15074-1723
Grant Number
H80CS00663
Participating Start Date
4/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ROCHESTER HEALTH MART PHARMACY
Pharmacy Address
176 VIRGINIA AVE FL 3
ROCHESTER, PA 15074-1723
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Drew C. Pierce, CEO
(724) 342-3002 Ext: 1506
Contract Pharmacy Representative
Timothy Davis, Vice President
(724) 987-6085
Signed By Date
4/7/2015
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