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LIFE TREE PHARMACY
RWI19027 Bebashi-Transition to Hope
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Covered Entity Details
Entity Name
Bebashi-Transition to Hope
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19027
Entity Address
1235 Spring Garden Street
1st Floor
Philadelphia, PA 19123
Grant Number
H89HA00013
Participating Start Date
7/1/2013
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
LIFE TREE PHARMACY
Pharmacy Address
5 BLUE HERON DRIVE
COLLEGEVILLE, PA 19426
Pharmacy Comments
Contract Details
Approval Date
7/12/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary Bell, Executive Director
(215) 769-3561
Contract Pharmacy Representative
Lifetree Pharmacy
Mark Taglianetti, Chief Executive Officer
(610) 489-6640
Signed By Date
7/12/2018
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