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MOSHANNON VALLEY PHARMACY
FP158343 KEYSTONE RURAL HEALTH CONSORTIUM
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Covered Entity Details
Entity Name
KEYSTONE RURAL HEALTH CONSORTIUM
Subdivision Name
CAMERON COUNTY HEALTH CARE
Type
Family Planning (Title X only)
340B ID
FP158343
Entity Address
90 E. SECOND STREET
EMPORIUM, PA 15834
Grant Number
Participating Start Date
1/1/1998
Last Recertification Date
6/11/2015
Entity Termination Date
7/1/2015
Pharmacy Details
Pharmacy Name
MOSHANNON VALLEY PHARMACY
Pharmacy Address
402 E. SYCAMORE ROAD
P O BOX 292
SNOW SHOE, PA 16874
Pharmacy Comments
Contract Details
Approval Date
4/2/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Contacts
Covered Entity Signing Official
Kristie M. Bennardi, Administrator
(814) 486-1115
Contract Pharmacy Representative
Bob Branstetter, Owner
(814) 342-3750
Signed By Date
4/2/2014
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