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RXD MEDICATION SERVICES
Bebashi Transition to Hope
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Covered Entity Details
Entity Name
Bebashi Transition to Hope
Subdivision Name
Type
Ryan White Part A
340B ID
Entity Address
4101 Woodland Avenue
Philadelphia, PA 19104
Grant Number
H89HA00013
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
RXD MEDICATION SERVICES
Pharmacy Address
1335 W TABOR RD
PHILADELPHIA, PA 19141
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sebrina Tate, Director of Programs and Administration
(215) 769-3561 Ext: 2157693561
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
4/8/2025
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