340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMACY OF AMERICA IV
CH03290E Delaware Valley Community Health, Inc.
Print
Covered Entity Details
Entity Name
Delaware Valley Community Health, Inc.
Subdivision Name
Fairmount Primary Care Center at Girard Medical Center
Type
HRSA-Funded Health Center
340B ID
CH03290E
Entity Address
820 West Thompson Street
Philadelphia, PA 19122-4212
Grant Number
H80CS00833
Participating Start Date
1/1/2019
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
PHARMACY OF AMERICA IV
Pharmacy Address
1900 N 9TH ST
PHILADELPHIA, PA 19122
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott McNeal, DO, President and CEO
(215) 684-5344
Contract Pharmacy Representative
Pharmacy of America
Sabri Ibrahim, PharmD, President and CEO
(267) 237-1188
Signed By Date
4/15/2019
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