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FP191020 PARTNERSHIP CARE PRACTICE (Terminated)
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Main Details
Name
PARTNERSHIP CARE PRACTICE
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP191020
Grant Number
FPHPA036073
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
4/1/2003
Last Recertification Date
5/9/2022
Termination Date
Termination Reason
1/1/2023
Terminated - Reason unknown
Contacts
Authorizing Official
Drexel University
Aleister Saunders, Executive Vice Provost for Research & Innovation
(215) 895-6203
Primary Contact
Drexel University
Jennifer Reed-Hack, Senior Financial Analyst
(215) 820-3812
Addresses
Street Address
Partnership Care Practice
1427 Vine Street, 2nd Floor
PHILADELPHIA, PA 19102
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/5/12 added NPI #; 3/9/06 UPDATED NAME, FLOOR NUMBER, AND ZIP
03/05/2012
3/9/06 UPDATED NAME, FLOOR NUMBER, AND ZIP
02/18/2010
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