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WELLCARE PHARMACY 3
CH033200 GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
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Covered Entity Details
Entity Name
GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
Subdivision Name
Carl Moore Health Center
Type
HRSA-Funded Health Center
340B ID
CH033200
Entity Address
1401 S. 31st Street
Philadelphia, PA 19146
Grant Number
H80CS00708
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WELLCARE PHARMACY 3
Pharmacy Address
612-614 SNYDER AVE
PHILADELPHIA, PA 19148
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/15/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Contract Pharmacy Representative
WellCare Pharmacy
Li Zengxing, Owner
(267) 538-2685
Signed By Date
4/14/2023
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