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RWI19125A Temple University Of The Commonwealth System of Higher Education (Terminated)
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Main Details
Name
Temple University Of The Commonwealth System of Higher Education
Subdivision Name
Temple General Internal Medicine Associates
Type
Ryan White Part A
340B ID
RWI19125A
Grant Number
H89HA00013
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/14/2017
Last Recertification Date
1/30/2020
Time Period the Assistance was Received
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Temple University
Thomas Kupp, Executive Director of TUP
(215) 707-7292
Primary Contact
Temple University Health System
Warren richard Robinson, Director of Outpatient Pharmacy Services
(215) 707-3181
Addresses
Street Address
1316 West Ontario Street
1st Floor Jones Hall
Philadelphia, PA 19140
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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