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PREMIER PHARMACY SERVICES
CH033130 E.A. HAWSE HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
E.A. HAWSE HEALTH CENTER, INC.
Subdivision Name
Central Office
Type
HRSA-Funded Health Center
340B ID
CH033130
Entity Address
17978 STATE ROUTE 55
BAKER, WV 26801-0097
Grant Number
H80CS00563
Participating Start Date
10/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY SERVICES
Pharmacy Address
GOOD HEALTH INC.
1049-51 BROADWAY
#2
BETHLEHEM, PA 18015-4148
Pharmacy Comments
Contract Details
Approval Date
10/6/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GARY T. JOHNSON, CEO
(304) 897-5915 Ext: 230
Contract Pharmacy Representative
Good Health, Inc
Todd Weber, Director, Government Programs & Strategic Initiatives
(203) 212-4717
Signed By Date
10/6/2017
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