340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COORDINATED CARE NETWORK PHARMACY
STD176021 Spanish American Civic Association
Print
Covered Entity Details
Entity Name
Spanish American Civic Association
Subdivision Name
Nuestra Clinica
Type
Sexually Transmitted Diseases
340B ID
STD176021
Entity Address
453 South Lime Street
Suite A
Lancaster, PA 17602-3652
Grant Number
NH25PS005144
Participating Start Date
10/1/2017
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
249 S 13TH ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/19/2023
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