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GREATER PHILADELPHIA PHARMACY
CH031670 PUBLIC HEALTH MANAGEMENT CORPORATION
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Covered Entity Details
Entity Name
PUBLIC HEALTH MANAGEMENT CORPORATION
Subdivision Name
Public Health Management Corporation
Type
HRSA-Funded Health Center
340B ID
CH031670
Entity Address
Centre Square East
1500 Market Street
Philadelphia, PA 19102-2100
Grant Number
H80CS00016
Participating Start Date
7/1/2004
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
GREATER PHILADELPHIA PHARMACY
Pharmacy Address
UNIVERSAL PHARMACY SERVICES
432 N 6TH. ST.
PHILADELPHIA, PA 19123-4004
Pharmacy Comments
Contract Details
Approval Date
9/23/2021
Contract Begin Date
9/23/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Richard Cohen, President and CEO
(215) 985-2501
Contract Pharmacy Representative
APOVIS PHARMACY SERVICES
Emmanuel Nyarko, CEO
(267) 901-0000
Signed By Date
9/23/2021
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