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PA Bulletin, Doc. No. 17-71


Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program); Listing of Licensed Infant Formula Sellers

[47 Pa.B. 270]
[Saturday, January 14, 2017]

 The WIC Program is a Federal program sponsored and funded by the United States Department of Agriculture (USDA) under section 17(d)(1) of the Child Nutrition Act of 1996 (42 U.S.C.A. § 1786(d)(1)), the Child Nutrition and WIC Reauthorization Act of 2004 (Pub.L. No. 108-265) and 7 CFR 246.1 (relating to general purpose and scope). Under 7 CFR 246.3(a) (relating to administration), the WIC Program is designed to provide nutritious foods to supplement the diets of certain low-income women, infants and children at nutritional risk. The Food and Nutrition Service (FNS) within the USDA has the responsibility for the administration of the WIC Program. Under 7 CFR 246.1, the USDA-FNS provides cash grants to state agencies to administer the WIC Program. The Department of Health (Department) is the State agency that has the responsibility for the operation of the WIC Program in this Commonwealth.

 The Department, as the State agency for USDA-FNS in this Commonwealth, distributes nutritious foods, including infant formula, to WIC Program participants through a retail store food delivery system. Under 7 CFR 246.12(g) (relating to food delivery methods), the Department is required to authorize an appropriate number and distribution of WIC vendors to ensure the lowest practicable food prices consistent with adequate participant access to supplemental foods. As part of that responsibility under 7 CFR 246.12(g)(11), the Department is required to provide a list to all WIC authorized vendors of the names and addresses of licensed infant formula wholesalers, distributors and retailers, and infant formula manufacturers registered with the Food and Drug Administration (FDA) that provide infant formula.

 The purpose of this notice is to provide a list of sellers of infant formula who are either: (1) registered with the Department of Agriculture or with the authorized agency in the state in which the seller is located and are, therefore, deemed licensed by the Department; or (2) registered with the FDA. WIC authorized vendors must purchase infant formula to be sold to WIC participants from a seller on this list or from another WIC authorized vendor. Since WIC authorized vendors are authorized to sell and purchase infant formula within this Commonwealth, a WIC authorized vendor may purchase infant formula from another WIC authorized vendor. WIC authorized vendors are identifiable by the PA WIC decal located at the entrance of the vendor.

 Pennsylvania WIC authorized vendors must maintain records of purchase for allowable foods and records used for Federal tax reporting purposes for a minimum of 2 years in accordance with 28 Pa. Code § 1105.3(a)(16) (relating to terms and conditions of participation). If a vendor is reviewed during a Formula Inventory Audit, the vendor will be required to submit authentic purchase records or invoices. The purchase records or invoices must identify the date of purchase and the name and address of the location where the purchase was made. No hand written receipts will be accepted.

 Purchasing infant formula from a seller that is not registered either with the Department of Agriculture or with the authorized agency in the state in which the seller is located or registered with the FDA or that is not an active Pennsylvania WIC authorized vendor may result in disqualification from the WIC Program.

 This notice is also available on the Vendor Assistant web site at

 For more information, or persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact Jay Mast, Public Health Program Manager, Division of Quality Assurance and Program Integrity Section, Bureau of WIC, 7th Floor, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120, (717) 783-1289 or for speech and/or hearing impaired persons V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Service at (800) 654-5984.

Pennsylvania Licensed Infant Formula Sellers
October 29, 2016

A & G Wholesale Cash and Carry
5323 West Jefferson Street
Philadelphia, PA 19131
Expires: 04/25/2017
Abbott Nutrition
3300 Stelzer Road
Columbus, OH 43219
ACME, Inc. # 8790
500 South Muddy Creek Road
Denver, PA 17517
Expires: 03/06/2017
American Seaway/Riser Foods
(Giant Eagle)
5300 Richmond Road
Bedford, OH 44146
Expires: 01/31/2017
Bozzuto's, Inc.
275 Schoolhouse Road
Cheshire, CT 06410
Expires: 06/30/2017
C & S Bethlehem
4930 Hanoverville Road
Bethlehem, PA 18020
Expires: 01/23/2017
C & S Wholesalers
47 Old Ferry Road
P.O. Box 821
Brattleboro, VT 05301
C & S York
4875 Susquehanna Trail
York, PA 17406
Expires: 08/15/2017
DuBois Logistics, LLC (C & S)
891 Beaver Drive
Dubois, PA 15801
Expires: 03/01/2017
Food Lion Distribution Center # 7
Lot 16 Commerce Avenue
Greencastle, PA 17225
Expires: 01/03/2017
General Trading Co., Inc.
455 16th Street
Carlstadt, NJ 07072
Expires: 03/31/2017
Giant Eagle, Inc./OK Grocery
755 Beechnut Drive
Pittsburgh, PA 15205
Expires: 05/13/2017
Giant Food Stores, LLC
1149 Harrisburg Pike
Carlisle, PA 17013
Expires: 3/31/2017
Jetro Cash & Carry
700 Pattison Avenue
Philadelphia, PA 19148
Expires: 01/16/2017
K & J Wholesale, Inc.
750 West Sedgley Avenue
Philadelphia, PA 19140
Expires: 01/23/2017
K & T Wholesale Distributor, Inc.
161 East Hunting Park Avenue
Philadelphia, PA 19124
Expires: 09/30/2017
Krasdale Foods—Bronx—NY
400 Food Center Drive
Bronx, NY 10474
Expires: 12/31/2017
Laurel Grocery Warehouse
Laurel Grocery Co., LLC
129 Barbourville Road
London, KY 40743
Expires: 12/31/2016
Lee's Wholesale & Distribution/Jetro
700 Pattison Avenue
Philadelphia, PA 19148
Expires: 05/05/2017
Line One Distributors, LLC
118 Monmouth Avenue
Lakewood, NJ 08701
Mcaneny Brothers
470 Industrial Park Road
Ebensburg, PA 15931
Expires: 01/31/2017
Mead Johnson Nutritional Group
2400 West Lloyd Expressway
Evansville, IN 47721
Merchants Distributor's, LLC/MDI
5005 Alex Lee Boulevard
Hickory, NC 28601
Expires: 12/31/2016
MKT & A, Inc.
2626 Penns Ridge Boulevard
Easton, PA 18040
Expires: 04/18/2017
Nestle USA
12 Vreeland Road
Box 697
Florham Park, NJ 07932
Nestle USA
800 North Brand Boulevard
Glendale, CA 91203
Nutricia North America
9900 Belward Campus Drive
Suite 100
Rockville, MD 20850
Olean Wholesale
P.O. Box 1070
1587 Haskell Road
Olean, NY 14760
Expires: 12/31/2017
PBM Nutritionals, LLC
P.O. Box 2109
147 Industrial Park Road
Georgia, VT 05468
Ross Products—Abbott Laboratories
625 Cleveland Avenue
Columbus, OH 73215
Shop N Save # 80123
1906 Dailey Avenue
Latrobe, PA 15605
Expires: 04/30/2017
Solus Products, LLC
8910 Purdue Road, Suite 230
Indianapolis, IN 46268
500 South Muddy Creek Road
Denver, PA 17517
Expires: 03/06/2017
Tripifoods, Inc.
1427 William Street
Buffalo, NY 14206
Expires: 01/13/2017
Wakefern Food Corporation
600 York Street
Elizabeth, NJ 07207
Wal-Mart DC # 6027
100 Walmart Drive
Woodland, PA 16881
Expires: 01/23/2017
Wal-Mart DC # 6047
181 Walmart Road
Bedford, PA 15522
Expires: 04/30/2017
Wal-Mart DC # 6080
100 Veterans Drive
Tobyhanna, PA 18466
Expires: 01/23/2017
Wegman's Retail Service Center
820 Keystone Boulevard
Pottsville, PA 17901
Expires: 03/06/2017
Weis Distribution Center Warehouse
Industrial Park
Milton, PA 17847
Expires: 09/30/2017
Weis Markets, Inc.
1000 South Second Street
Sunbury, PA 17801
Expires: 03/08/2017

 Pennsylvania WIC authorized vendors displaying the red WIC logo on their entrance doors are also licensed infant formula sellers.


[Pa.B. Doc. No. 17-71. Filed for public inspection January 13, 2017, 9:00 a.m.]

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