340B Drug Pricing Program Database

Pharmacy Name

COORDINATED CARE NETWORK PHARMACY

Pharmacy Address

249 S 13TH ST
PHILADELPHIA, PA 19107

Pharmacy Comments

Approval Date

10/20/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

JANE SHULL, EXECUTIVE DIRECTOR
(215) 985-4448 Ext: 102

Contract Pharmacy Representative

Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300

Signed By Date

10/20/2023