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RITECHOICE PHARMACY V
FP191217 BROAD STREET HEALTH CENTER
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Covered Entity Details
Entity Name
BROAD STREET HEALTH CENTER
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP191217
Entity Address
1415 NORTH BROAD ST
ROOM 224
PHILADELPHIA, PA 19122
Grant Number
FPHPA036073
Participating Start Date
1/1/1998
Last Recertification Date
5/5/2021
Entity Termination Date
7/1/2021
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
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Stephanie Wroten, Chief Programs and Develop
(215) 471-2761 Ext: 3256
Contract Pharmacy Representative
Rite Choice IV
Adam Accay, President
(215) 500-2223
Signed By Date
7/11/2019
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