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PENNSYLVANIA CVS PHARMACY, L.L.C.
RW19107 AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Philadelphia
Type
Ryan White Part A
340B ID
RW19107
Entity Address
1211 Chestnut Street
Suite 405
Philadelphia, PA 19107
Grant Number
H89HA00013
Participating Start Date
7/1/2019
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02755
4314 LOCUST STREET
PHILADELPHIA, PA 19104
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/17/2023
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