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K & K RX SERVICES, LP
CH03167I PUBLIC HEALTH MANAGEMENT CORPORATION
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Covered Entity Details
Entity Name
PUBLIC HEALTH MANAGEMENT CORPORATION
Subdivision Name
Rising Sun Health Center
Type
HRSA-Funded Health Center
340B ID
CH03167I
Entity Address
5675 N Front St
Philadelphia, PA 19120-2719
Grant Number
H80CS00016
Participating Start Date
12/1/2005
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
K & K RX SERVICES, LP
Pharmacy Address
BIOMATRIX SPECIALTY PHARMACY PA
3070 MCCANN FARM DR STE 101
GARNET VALLEY, PA 19060
Pharmacy Comments
Contract Details
Approval Date
1/9/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Cohen, President and CEO
(215) 985-2501
Contract Pharmacy Representative
Elwyn Specialty Care
Nicholas Karalis, Owner
(866) 317-0672 Ext: 206
Signed By Date
1/9/2016
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