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PHILADELPHIA PHARMACY
DSH390027A TEMPLE UNIVERSITY HOSPITAL
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Covered Entity Details
Entity Name
TEMPLE UNIVERSITY HOSPITAL
Subdivision Name
TUHE-Emergency Dept
Type
Disproportionate Share Hospital
340B ID
DSH390027A
Entity Address
100 East Lehigh
PHILADELPHIA, PA 19125-0000
Medicare Provider Number
390027
Outpatient Facility Provider Number
Participating Start Date
7/1/2006
Last Recertification Date
8/17/2024
Pharmacy Details
Pharmacy Name
PHILADELPHIA PHARMACY
Pharmacy Address
101 E LEHIGH AVENUE
PHILADELPHIA, PA 19125
Pharmacy Comments
Contract Details
Approval Date
1/16/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert H. Lux, Vice President, Chief Financial Officer & Treasurer
(215) 707-3802
Contract Pharmacy Representative
Richard Ost, President
(215) 425-2800
Signed By Date
1/16/2014
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