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MCLAUGHLINS DRUG STORE
CAH391303-00 FULTON COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
FULTON COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391303-00
Entity Address
214 PEACH ORCHARD ROAD
MCCONNELLSBURG, PA 17233
Medicare Provider Number
391303
Participating Start Date
4/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
MCLAUGHLINS DRUG STORE
Pharmacy Address
MCLAUGHLINS DRUG STORE
182 BUCHANAN TRAIL,SUITE 150
MCCONNELLSBURG, PA 17233-8261
Pharmacy Comments
Contract Details
Approval Date
7/10/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deborah A Shughart, CFO
(717) 485-6109
Contract Pharmacy Representative
Krishna Koneru, Operations Manager
(717) 485-3724
Signed By Date
7/10/2015
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