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COORDINATED CARE NETWORK PHARMACY
RWII17701A AIDS Resource Alliance
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Covered Entity Details
Entity Name
AIDS Resource Alliance
Subdivision Name
Type
Ryan White Part B
340B ID
RWII17701A
Entity Address
129 S Sparks St
Suite #1
State College, PA 16801
Grant Number
X07HA00021
Participating Start Date
6/5/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
249 S 13TH ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
3/11/2022
Contract Begin Date
3/11/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kirsten Burkhart, Executive Director
(570) 322-8448 Ext: 11
Contract Pharmacy Representative
CCN Pharmacy
Lou Montefiori, VP, Sales and Marketing
(412) 303-1604
Signed By Date
3/11/2022
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