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CRONES DRUG STORE
CH03406AW PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
Warren Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH03406AW
Entity Address
1885 MARKET ST , SUITE B
WARREN, PA 16365-1227
Grant Number
H80CS00663
Participating Start Date
7/1/2015
Last Recertification Date
2/19/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
CRONES DRUG STORE
Pharmacy Address
212-214 LIBERTY STREET
WARREN, PA 16365
Pharmacy Comments
Contract Details
Approval Date
4/14/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Chris Darling, Owner
(814) 723-1743
Signed By Date
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