340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COORDINATED CARE NETWORK PHARMACY
RWII17701 AIDS Resource Alliance, Inc.
Print
Covered Entity Details
Entity Name
AIDS Resource Alliance, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII17701
Entity Address
500 W Third St
Williamsport, PA 17701
Grant Number
X07HA00021
Participating Start Date
1/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
249 S 13TH ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
12/20/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kirsten Burkhart, Executive Director
(570) 322-8448 Ext: 11
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300
Signed By Date
12/20/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session