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Sunray Drugs Chestnut Plaza
RWI19107F ActionAIDS dba Action Wellness
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Covered Entity Details
Entity Name
ActionAIDS dba Action Wellness
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19107F
Entity Address
Action Wellness
3401 I Street
Unit 502
Philadelphia, PA 19134
Grant Number
H89HA00013
Participating Start Date
4/1/2023
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
Sunray Drugs Chestnut Plaza
Pharmacy Address
4323 Chestnut Street unit # 8
Philadlephia, PA 19104
Pharmacy Comments
Contract Details
Approval Date
4/11/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Kevin J. Burns, Executive Director
(215) 981-3338
Contract Pharmacy Representative
Sun Ray Drugs 60th Street
Nick Shaiko, Pharmacy Manager
(215) 474-4550
Signed By Date
4/11/2023
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