Contract Pharmacy Details

VALUE SPECIALTY PHARMACY
CH032700 KEYSTONE RURAL HEALTH CENTER

Covered Entity Details

Entity Name

KEYSTONE RURAL HEALTH CENTER

Subdivision Name

ADMINISTRATION

Type

HRSA-Funded Health Center

340B ID

CH032700

Entity Address

111 Chambers Hill Drive, Suite 200
CHAMBERSBURG, PA 17201

Grant Number

H80CS00076

Participating Start Date

1/1/2000

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

VALUE SPECIALTY PHARMACY

Pharmacy Address

4200 INDUSTRIAL PARK DR
ALTOONA, PA 16602

Pharmacy Comments

Contract Details

Approval Date

1/4/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JOANNE COCHRAN, PRESIDENT AND CEO
(717) 709-7906

Contract Pharmacy Representative

Value Drug Company
Gregory Drew, President
(814) 283-2205

Signed By Date

1/4/2018

340B Drug Pricing Program Database