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RITECHOICE PHARMACY AT 11TH STREET
CH03667L RESOURCES FOR HUMAN DEVELOPMENT, INC.
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Covered Entity Details
Entity Name
RESOURCES FOR HUMAN DEVELOPMENT, INC.
Subdivision Name
Building 21 High School
Type
HRSA-Funded Health Center
340B ID
CH03667L
Entity Address
6501 Limekiln Pike
Philadelphia, PA 19138-3102
Grant Number
H80CS00718
Participating Start Date
7/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITECHOICE PHARMACY AT 11TH STREET
Pharmacy Address
850 N 11TH ST FL 1
PHILADELPHIA, PA 19123-1957
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Emily Nichols, Executive Director
(267) 597-3604
Contract Pharmacy Representative
RiteChoice
Adrian Accay, Owner
(267) 336-7506
Signed By Date
10/12/2023
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