340B Drug Pricing Program Database
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CH03414A SPECTRUM HEALTH SERVICES, INC. (Active)
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Main Details
Name
SPECTRUM HEALTH SERVICES, INC.
Subdivision Name
BROAD STREET HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002951
340B ID
CH03414A
Grant Number
H80CS00389
Additional Details
Current Program Status
Active
Registration Date
7/13/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/21/2016
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Spectrum Health Services, Inc
Shawna L Russell-Young, Chief Compliance Officer
(215) 668-0847
Primary Contact
Spectrum Health Services, Inc.
Suzanne Brown, Director of Pharmacy Services
(267) 769-2512
Addresses
Street Address
1415 N Broad St STE 224
Philadelphia, PA 19122-3325
Billing Address
Spectrum Health Services, Inc
5201 Haverford Avenue
Philadelphia, PA 19139
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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