340B Drug Pricing Program Database

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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWII06511 APNH: A Place to Nourish Your Health, Inc.

Covered Entity Details

Ryan White Part B
RWII06511
1302 Chapel Street
New Haven, CT 06511
X07HA00022
4/1/2014
2/10/2025


Pharmacy Details

1226 CHESTNUT ST
PHILADELPHIA, PA 19107

Contract Details

7/2/2019
10/1/2019


Contacts


Christopher Allen Cole, Executive Director
(475) 441-7017



PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
7/2/2019