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NORTH PHILLY PHARMACY
RWI19114 Urban Solutions
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Covered Entity Details
Entity Name
Urban Solutions
Subdivision Name
Newlands Health
Type
Ryan White Part A
340B ID
RWI19114
Entity Address
9625 Frankford Avenue
Philadelphia, PA 19114
Grant Number
H89HA00013
Participating Start Date
10/1/2017
Last Recertification Date
2/8/2018
Entity Termination Date
8/16/2018
Pharmacy Details
Pharmacy Name
NORTH PHILLY PHARMACY
Pharmacy Address
118 DIAMOND ST
PHILADELPHIA, PA 19122
Pharmacy Comments
Contract Details
Approval Date
7/12/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/16/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Simone Peters-Bottos, Board Chair
(267) 528-7335
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
7/12/2018
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