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PHARMBLUE LLC DBA AVITA PHARMACY 1059
STD199041 A Peaceful Place Integrated Care
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Covered Entity Details
Entity Name
A Peaceful Place Integrated Care
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD199041
Entity Address
1001 S Bradford
Suite 7
Dover, DE 19904
Grant Number
NH25PS0051560300
Participating Start Date
10/1/2023
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
8/8/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ericka Daniel, Nurse practitioner
(302) 264-9436
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/3/2023
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