340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMBLUE LLC DBA AVITA PHARMACY 1059
STD02301 Health Imperatives
Print
Covered Entity Details
Entity Name
Health Imperatives
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD02301
Entity Address
942 West Chestnut St
Brockton, MA 02301
Grant Number
6NH25PS004332-03-01
Participating Start Date
4/1/2017
Last Recertification Date
5/16/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Emily Gold, Director of Reproductive Health Services
(508) 274-6541
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
10/15/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session