Contract Pharmacy Details

RITECHOICE PHARMACY AT 11TH STREET
CH03667D RESOURCES FOR HUMAN DEVELOPMENT, INC.

Covered Entity Details

Entity Name

RESOURCES FOR HUMAN DEVELOPMENT, INC.

Subdivision Name

11TH STREET FAM HLTH SVCS DREXEL

Type

HRSA-Funded Health Center

340B ID

CH03667D

Entity Address

850 N 11th St
Philadelphia, PA 19123-1957

Grant Number

H80CS00718

Participating Start Date

4/1/2005

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RITECHOICE PHARMACY AT 11TH STREET

Pharmacy Address

850 N 11TH ST FL 1
PHILADELPHIA, PA 19123-1957

Pharmacy Comments

Contract Details

Approval Date

4/1/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Dyann Roth, CEO
(215) 951-0300

Contract Pharmacy Representative

RiteChoice
Adrian Accay, Owner
(267) 336-7506

Signed By Date

4/1/2016

340B Drug Pricing Program Database