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PELHAM PHARMACY
STD19136 Philadelphia Department of Prisons
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Covered Entity Details
Entity Name
Philadelphia Department of Prisons
Subdivision Name
Curran Fromhold Correctional Facility
Type
Sexually Transmitted Diseases
340B ID
STD19136
Entity Address
7901 STATE ROAD
PHILADELPHIA, PA 19136
Grant Number
NU62PS924826
Participating Start Date
1/1/2004
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
PELHAM PHARMACY
Pharmacy Address
TIMI PHARMACEUTICALS, INC DBA PELHAM PHA
6555 GREENE ST STE 3
PHILADELPHIA, PA 19119
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Caroline C. Johnson, Director Disease Control
(215) 685-6740
Contract Pharmacy Representative
Timi Pharmaceuticals, inc
Idayat Adewunmi, President and Chief Pharmacist
(215) 848-0500 Ext: 3475744754
Signed By Date
10/15/2019
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