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PHARMBLUE LLC DBA AVITA PHARMACY 1059
FQHCLA399 MULTI-CULTURAL HEALTH EVALUATION DELIVERY SYSTEM, INC.
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Covered Entity Details
Entity Name
MULTI-CULTURAL HEALTH EVALUATION DELIVERY SYSTEM, INC.
Subdivision Name
MHEDS Peach Street Site
Type
Health Center Program Look-Alike
340B ID
FQHCLA399
Entity Address
2928 PEACH ST
ERIE, PA 16508
Grant Number
LALCS32712
Participating Start Date
1/1/2020
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patricia J Stubber, CEO
(814) 453-6229
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
7/13/2020
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