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PHARMBLUE LLC DBA AVITA PHARMACY 1059
FP20770 COMMUNITY CLINIC, INC.
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Covered Entity Details
Entity Name
COMMUNITY CLINIC, INC.
Subdivision Name
FAMILY PLANNING - Greenbelt
Type
Family Planning (Title X only)
340B ID
FP20770
Entity Address
9220 Springhill Drive
Greenbelt, MD 20770
Grant Number
FPHPA006403
Participating Start Date
10/1/2018
Last Recertification Date
5/15/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
1/3/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kathleen Knolhoff, CEO & President
(240) 499-2609
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
1/3/2019
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