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RW424848A Children's Hospital of Philadelphia (Active)
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Main Details
Name
Children's Hospital of Philadelphia
Subdivision Name
Special Immunology/Family Care Clinic
Type
Ryan White Part D
340B ID
RW424848A
Grant Number
H12HA24848
Additional Details
Current Program Status
Active
Registration Date
4/15/2015
Participating Start Date
7/1/2015
Participating Approval Date
6/1/2015
Last Recertification Date
2/19/2025
Time Period the Assistance was Received
8/1/2024 - 7/31/2025
Contacts
Authorizing Official
Children's Hospital of Philadelphia
Jan Pieter Boswinkel, Senior Vice President & Chief Operating Officer, Hospital Operations
(215) 590-3055
Primary Contact
Children's Hospital of Philadelphia
Kathryn Pultman, Program Manager
(267) 426-5185
Addresses
Street Address
3550 Market St
2nd Floor
Philadelphia, PA 19104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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