Contract Pharmacy Details

RITECHOICE PHARMACY V
CH03414B SPECTRUM HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

SPECTRUM HEALTH SERVICES, INC.

Subdivision Name

Reed Street Health Center

Type

HRSA-Funded Health Center

340B ID

CH03414B

Entity Address

1325 South 33rd Street
Suite 300
Philadelphia, PA 19146

Grant Number

H80CS00389

Participating Start Date

10/1/2016

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

RITECHOICE PHARMACY V

Pharmacy Address

5201 HAVERFORD AVE
FL 1
PHILADELPHIA, PA 19139-1401

Pharmacy Comments

Contract Details

Approval Date

7/11/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Stephanie Wroten, Chief Programs and Develop
(215) 471-2761 Ext: 3256

Contract Pharmacy Representative

RiteChoice Pharmacy
Adam Accay, President
(215) 500-2223

Signed By Date

7/11/2019

340B Drug Pricing Program Database