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SOMERSET PHARMACY LLC
CH03167L PUBLIC HEALTH MANAGEMENT CORPORATION
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Covered Entity Details
Entity Name
PUBLIC HEALTH MANAGEMENT CORPORATION
Subdivision Name
Congreso Health Center
Type
HRSA-Funded Health Center
340B ID
CH03167L
Entity Address
216 W. Somerset St.
Philadelphia, PA 19133
Grant Number
H80CS00016
Participating Start Date
4/1/2012
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
SOMERSET PHARMACY LLC
Pharmacy Address
216 W SOMERSET ST
PHILADELPHIA, PA 19133-3534
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Cohen, President and CEO
(215) 985-2501
Contract Pharmacy Representative
Somerset Pharmacy
Richard Ost, Pharmacy Manager
(267) 534-4030
Signed By Date
7/14/2023
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