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SUNRAY DRUGS KENSINGTON & ALLEGHENY
STD19134 Prevention Point Philadelphia
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Covered Entity Details
Entity Name
Prevention Point Philadelphia
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD19134
Entity Address
2913-2915 Kensington Ave
Philadelphia, PA 19134
Grant Number
NH25PS0051450100
Participating Start Date
10/1/2019
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
SUNRAY DRUGS KENSINGTON & ALLEGHENY
Pharmacy Address
825 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Pharmacy Comments
Contract Details
Approval Date
10/18/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose A. Benitez, Executive Director
(215) 461-1710
Contract Pharmacy Representative
Sunray Drugs Specialty
Daniel Kuo, CEO
(215) 471-4000 Ext: 0
Signed By Date
10/18/2019
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