340B Drug Pricing Program Database
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RWI19063B Mazzoni Center (Active)
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Main Details
Name
Mazzoni Center
Subdivision Name
Mazzoni Center Washington West Project Location
Type
Ryan White Part A
340B ID
RWI19063B
Grant Number
H89HA00013
Additional Details
Current Program Status
Active
Registration Date
7/14/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/20/2022
Last Recertification Date
2/17/2025
Time Period the Assistance was Received
3/1/2024 - 2/28/2026
Contacts
Authorizing Official
Mazzoni Center
Alecia Manley, Executive Operating Officer
(215) 563-0652
Primary Contact
Mazzoni Center
Valerie Canavin, Compliance Director
(215) 563-0652
Addresses
Street Address
1201 Locust Street
Philadelphia, PA 19107
Billing Address
Mazzoni Center
1348 Bainbridge Street
Philadelphia, PA 19147
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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