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GREENVILLE PHARMACY
CH03406AZ PRIMARY HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
Sandy Lake Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH03406AZ
Entity Address
3205 South Main Street
Sandy Lake, PA 16145
Grant Number
H80CS00663
Participating Start Date
4/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GREENVILLE PHARMACY
Pharmacy Address
SLW & BCW ENTERPRISES, INC.
43 WILLIAMSON RD STE 1
GREENVILLE, PA 16125
Pharmacy Comments
Contract Details
Approval Date
2/9/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Drew C. Pierce, CEO
(724) 342-3002 Ext: 1506
Contract Pharmacy Representative
Bretton C. Wallberg, Owner
(724) 373-8533
Signed By Date
2/9/2016
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