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PHILADELPHIA PHARMACY
CHC26634-06 Philadelphia Fight
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Covered Entity Details
Entity Name
Philadelphia Fight
Subdivision Name
Clinica Bienestar
Type
HRSA-Funded Health Center
340B ID
CHC26634-06
Entity Address
2913 Kensington Ave. Philadelphia PA 1st floor and basement
Philadelphia, PA 19134-3016
Grant Number
H80CS26634
Participating Start Date
1/1/2019
Last Recertification Date
2/19/2020
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
PHILADELPHIA PHARMACY
Pharmacy Address
101 E LEHIGH AVENUE
PHILADELPHIA, PA 19125
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JANE SHULL, EXECUTIVE DIRECTOR
(215) 985-4448 Ext: 102
Contract Pharmacy Representative
Philadelphia Pharmacy
Richard Ost, President
(215) 425-2800
Signed By Date
10/12/2018
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