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GLENDALE PRESCRIPTION CENTER
FP191048 African Family Health Organization
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Covered Entity Details
Entity Name
African Family Health Organization
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP191048
Entity Address
4415 Chestnut Street
Suite 202
Philadelphia, PA 19104
Grant Number
FPHPA036073
Participating Start Date
1/1/2016
Last Recertification Date
5/6/2020
Entity Termination Date
7/1/2021
Pharmacy Details
Pharmacy Name
GLENDALE PRESCRIPTION CENTER
Pharmacy Address
GLENDALE PRESCRIPTION CENTER
7601 CASTOR AVE STE 100
PHILADELPHIA, PA 19152-4028
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Oni Richards Waritay, Executive Director
(215) 546-1232
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
10/15/2018
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