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WEST TOWN PHARMACY INC
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
WEST TOWN PHARMACY INC
Pharmacy Address
5259 RODMAN ST
PHILADELPHIA, PA 19143-1528
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
11/17/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/12/2023
Ownership change
Contacts
Covered Entity Signing Official
Richard Cohen, President and CEO
(215) 985-2501
Contract Pharmacy Representative
Westtown Pharmacy
Engin Celik, President
(215) 921-9346
Signed By Date
10/14/2021
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