340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COORDINATED CARE NETWORK PHARMACY
RWI19107A ActionAIDS DBA Action Wellness
Print
Covered Entity Details
Entity Name
ActionAIDS DBA Action Wellness
Subdivision Name
Action Wellness West
Type
Ryan White Part A
340B ID
RWI19107A
Entity Address
3901 Market Street
#1934
Philadelphia, PA 19104
Grant Number
H89HA00013-33-030
Participating Start Date
1/1/2017
Last Recertification Date
2/14/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
249 S 13TH ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary E Torres, Executive Director
(215) 981-3338
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300
Signed By Date
7/6/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session