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CLINICAL SOLUTIONS, LLC
STD191363 Philadelphia Department of Prisons
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Covered Entity Details
Entity Name
Philadelphia Department of Prisons
Subdivision Name
Detention Center
Type
Sexually Transmitted Diseases
340B ID
STD191363
Entity Address
8201 State Road
Philadelphia, PA 19136
Grant Number
NU62PS924826
Participating Start Date
10/1/2020
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
CLINICAL SOLUTIONS, LLC
Pharmacy Address
416 MARY LINDSAY POLK DR
STE 515
FRANKLIN, TN 37067-6212
Pharmacy Comments
Contract Details
Approval Date
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bruce W Herdman, Chief of Medical Operations
(215) 400-1580
Contract Pharmacy Representative
Clinical Solutions LLC
Christi Throneberry, CEO
(615) 369-2485
Signed By Date
7/3/2024
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