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PHYSICIAN'S RX PHARMACY, LLC
RWI44102 Nueva Luz Urban Resource Center
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Covered Entity Details
Entity Name
Nueva Luz Urban Resource Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI44102
Entity Address
6600 Detroit Avenue
Cleveland, OH 44102
Grant Number
H89HA23812
Participating Start Date
7/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PHYSICIAN'S RX PHARMACY, LLC
Pharmacy Address
PHYSICIANS RX PHARMACY, LLC
9701 APOLLO DRIVE
#400
LARGO, MD 20774
Pharmacy Comments
Contract Details
Approval Date
3/21/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Max Rodas, Chief Executive Officer
(216) 857-0558
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
3/21/2023
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