340B Drug Pricing Program Database

Pharmacy Name

JEFFERSON NAVY YARD PHARMACY

Pharmacy Address

3 CRESCENT DR FL 1
PHILADELPHIA, PA 19112-1016

Pharmacy Comments

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

NEIL G. LUBARSKY, SR VP FOR FINANCE
(215) 955-9993

Contract Pharmacy Representative

Thomas Jefferson University Hospitals
Bill Balas, Assistant Director of Outpatient Pharmacy
(215) 955-9218

Signed By Date

1/15/2020