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LITITZ APOTHECARY
RWII17602 Spanish American Civic Association for Equality, Inc.
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Covered Entity Details
Entity Name
Spanish American Civic Association for Equality, Inc.
Subdivision Name
SACA-Nuestra Clinica
Type
Ryan White Part B
340B ID
RWII17602
Entity Address
453 S. Lime Street, Suite A
Lancaster, PA 17602
Grant Number
X07HA00021
Participating Start Date
10/1/2013
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LITITZ APOTHECARY
Pharmacy Address
100 E MAIN ST
LITITZ, PA 17543-2010
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/13/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carlos E Graupera, Executive Director
(717) 203-8532
Contract Pharmacy Representative
NCS Pharmacy
Chetan Patel, Managing Member
(732) 986-5517
Signed By Date
4/12/2019
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