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RITECHOICE PHARMACY IV
CH03667N RESOURCES FOR HUMAN DEVELOPMENT, INC.
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Covered Entity Details
Entity Name
RESOURCES FOR HUMAN DEVELOPMENT, INC.
Subdivision Name
FPCN at Belmont Charter Network Academy Charter School
Type
HRSA-Funded Health Center
340B ID
CH03667N
Entity Address
907 N 41st St
Philadelphia, PA 19104-1278
Grant Number
H80CS00718
Participating Start Date
4/1/2023
Last Recertification Date
1/31/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
RITECHOICE PHARMACY IV
Pharmacy Address
4700 WISSAHICKON AVE
BUILDING E, SUITE 100
PHILADELPHIA, PA 19144
Pharmacy Comments
Contract Details
Approval Date
10/15/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Marco Giordano, CEO
(215) 951-0300
Contract Pharmacy Representative
RiteChoice
Adrian Accay, Owner
(267) 336-7506
Signed By Date
10/15/2023
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