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WASHINGTON SQUARE PHARMACY INC
RWI19146 URBAN HEALTH SOLUTIONS INC.
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Covered Entity Details
Entity Name
URBAN HEALTH SOLUTIONS INC.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19146
Entity Address
1408 S BROAD STREET
FIRST FLOOR
PHILADELPHIA, PA 19146
Grant Number
H89HA00013
Participating Start Date
4/1/2011
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WASHINGTON SQUARE PHARMACY INC
Pharmacy Address
241 S 6TH ST
ONE INDEPENDENCE PLACE
PHILADELPHIA, PA 19106
Pharmacy Comments
Contract Details
Approval Date
4/1/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Yvonne Jones, Project Director
(215) 755-6462 Ext: 139
Contract Pharmacy Representative
Pharmacist
Nasir Fahham, RPH
(215) 925-1466
Signed By Date
4/1/2019
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