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CORAM ALTERNATE SITE SERVICES, INC.
CH032960 WESTSIDE FAMILY HEALTHCARE, INC.
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Covered Entity Details
Entity Name
WESTSIDE FAMILY HEALTHCARE, INC.
Subdivision Name
Westside Family Healthcare - Administration Office
Type
HRSA-Funded Health Center
340B ID
CH032960
Entity Address
300 Water Street
Suite 200
Wilmington, DE 19801-5043
Grant Number
H80CS00789
Participating Start Date
4/1/2000
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
CORAM ALTERNATE SITE SERVICES, INC.
Pharmacy Address
DBA CORAM CVS/SPECIALTY INFUSION SERVICE
6 SPRING MILL DR
MALVERN, PA 19355
Pharmacy Comments
Contract Details
Approval Date
1/16/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Fraser, President & CEO
(302) 656-8292 Ext: 1008
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2025
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