340B Drug Pricing Program Database

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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWI01420 Making Opportunity Count, Inc.

Covered Entity Details

Ryan White Part A
RWI01420
601 River Street
Fitchburg, MA 01420
H89HA00011
6/16/2020
2/12/2025


Pharmacy Details

1226 CHESTNUT ST
PHILADELPHIA, PA 19107

Contract Details

6/19/2020
7/1/2020


Contacts


Kevin Reed, Executive Director
(978) 345-7040



PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
6/19/2020