340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COORDINATED CARE NETWORK PHARMACY
RWII17602 Spanish American Civic Association for Equality, Inc.
Print
Covered Entity Details
Entity Name
Spanish American Civic Association for Equality, Inc.
Subdivision Name
SACA-Nuestra Clinica
Type
Ryan White Part B
340B ID
RWII17602
Entity Address
453 S. Lime Street, Suite A
Lancaster, PA 17602
Grant Number
X07HA00021
Participating Start Date
10/1/2013
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
249 S 13TH ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/19/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carlos E Graupera, Executive Director
(717) 203-8532
Contract Pharmacy Representative
Coordinated Care Network Pharmacy
George Strock, Pharmacy Manager
(844) 657-6786
Signed By Date
7/19/2023
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