340B Drug Pricing Program Database
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BOSWELL PHARMACY SERVICES, LLC
STD19403 Montgomery County Correctional Facility
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Covered Entity Details
Entity Name
Montgomery County Correctional Facility
Subdivision Name
STD Program
Type
Sexually Transmitted Diseases
340B ID
STD19403
Entity Address
60 Eagleville Road
Eagleville, PA 19403-1403
Grant Number
NH25PS005144
Participating Start Date
1/1/2016
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
BOSWELL PHARMACY SERVICES, LLC
Pharmacy Address
131 SCHOOLHOUSE ROAD
P O BOX 266
JENNERSTOWN, PA 15547
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sean McGee, Warden
(610) 635-7110
Contract Pharmacy Representative
Boswell Pharmacy Services
Gary Pribozie, Director of Purchasing
(814) 629-1397 Ext: 103
Signed By Date
1/13/2017
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