340B Drug Pricing Program Database

Pharmacy Name

WASHINGTON SQUARE PHARMACY INC

Pharmacy Address

241 S 6TH ST
ONE INDEPENDENCE PLACE
PHILADELPHIA, PA 19106

Pharmacy Comments

Approval Date

1/17/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Richard Cohen, President and CEO
(215) 985-2501

Contract Pharmacy Representative

Public Health Management Corporation
Frank Killian, Dir.of Finance and Regulatory Affairs
(215) 219-5076

Signed By Date

1/17/2017