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EDDYSTONE COMMUNITY PHARMACY
STD19050 Delaware County Health Department
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Covered Entity Details
Entity Name
Delaware County Health Department
Subdivision Name
Division of Personal Health
Type
Sexually Transmitted Diseases
340B ID
STD19050
Entity Address
125 Chester Ave
Yeadon, PA 19050
Grant Number
NH25PS005144
Participating Start Date
7/1/2022
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
EDDYSTONE COMMUNITY PHARMACY
Pharmacy Address
AIDS CARE GROUP
1207B CHESTER PIKE
EDDYSTONE, PA 19022
Pharmacy Comments
Contract Details
Approval Date
7/1/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephanie Reese, Administrator of Personal Health
(215) 863-7500
Contract Pharmacy Representative
AIDS Care Group
Eric Strauss, Executive Director
(610) 724-6354
Signed By Date
7/1/2022
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