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PHARMACY OF AMERICA III
CH03290A DELAWARE VALLEY COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Subdivision Name
MARIA DE LOS SANTOS HEALTH CTR
Type
HRSA-Funded Health Center
340B ID
CH03290A
Entity Address
401-55 WEST ALLEGHENY AVENUE
PHILADELPHIA, PA 19133-3639
Grant Number
H80CS00833
Participating Start Date
7/1/2007
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
PHARMACY OF AMERICA III
Pharmacy Address
217 W LEHIGH AVE
PHILADELPHIA, PA 19133
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott McNeal, DO, President and CEO
(215) 684-5344
Contract Pharmacy Representative
Pharmacy of America
Sabri Ibrahim, PharmD, President and CEO
(267) 237-1188
Signed By Date
4/15/2022
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