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COORDINATED CARE NETWORK PHARMACY
FP168011 AIDS Resource
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Covered Entity Details
Entity Name
AIDS Resource
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP168011
Entity Address
129 South Sparks Street
Suite #1
State College, PA 16801
Grant Number
FPHPA006529-30-00
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
249 S 13TH ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kirsten Burkhart, Executive Director
(570) 322-8448 Ext: 11
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President & CFO
(412) 349-6300
Signed By Date
10/7/2024
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