340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GPHA PHARMACY
CH033200 GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
Print
Covered Entity Details
Entity Name
GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
Subdivision Name
Carl Moore Health Center
Type
HRSA-Funded Health Center
340B ID
CH033200
Entity Address
1401 S. 31st Street
Philadelphia, PA 19146
Grant Number
H80CS00708
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GPHA PHARMACY
Pharmacy Address
5501 WOODLAND AVE.
PHILADELPHIA, PA 19143
Pharmacy Comments
Contract Details
Approval Date
9/5/2012
Contract Begin Date
9/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Contract Pharmacy Representative
Raj Chirra, EVP
(215) 729-3912
Signed By Date
8/28/2012
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