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GPHA PHARMACY
HV033200 GREATER PHILADELPHIA HEALTH ACTION
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Covered Entity Details
Entity Name
GREATER PHILADELPHIA HEALTH ACTION
Subdivision Name
HIV CORP
Type
Ryan White Part C
340B ID
HV033200
Entity Address
1401 S. 31st
PHILADELPHIA, PA 19146
Grant Number
H76HA00070
Participating Start Date
7/1/2001
Last Recertification Date
1/28/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
GPHA PHARMACY
Pharmacy Address
5501 WOODLAND AVE.
PHILADELPHIA, PA 19143
Pharmacy Comments
Contract Details
Approval Date
6/27/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Contract Pharmacy Representative
Greater Philadelphia Health Action
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Signed By Date
6/27/2019
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