Contract Pharmacy Details

RXD MEDICATION SERVICES
RWI19027 Bebashi-Transition to Hope

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

RXD MEDICATION SERVICES

Pharmacy Address

1335 W TABOR RD
PHILADELPHIA, PA 19141

Pharmacy Comments

Contract Details

Approval Date

7/13/2018

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

RXD Medication Services
Chuck Tallam, Chief Executive Officer
(215) 927-6700

Signed By Date

7/13/2018

340B Drug Pricing Program Database