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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWI10302 Project Hospitality Incorporated
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Covered Entity Details
Entity Name
Project Hospitality Incorporated
Subdivision Name
Type
Ryan White Part A
340B ID
RWI10302
Entity Address
100 Park Avenue
Staten island, NY 10302
Grant Number
H89HA00015
Participating Start Date
4/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
3/6/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carrie Z Bloss, Executive Director
(718) 448-1544 Ext: 107
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
1/6/2020
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