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COORDINATED CARE NETWORK PHARMACY
RW424847 Drexel University College of Medicine
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Covered Entity Details
Entity Name
Drexel University College of Medicine
Subdivision Name
Drexel Univ. Infectious Diseases and HIV Medicine
Type
Ryan White Part D
340B ID
RW424847
Entity Address
1427 Vine Street
2nd & 5th Floors
Philadelphia, PA 19102
Grant Number
H12HA24847
Participating Start Date
1/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK PHARMACY
Pharmacy Address
249 S 13TH ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aleister Saunders, Executive Vice Provost for Research & Innovation
(215) 895-6203
Contract Pharmacy Representative
CCN AMERICA LP
Thomas J. Pollack, Vice President and CFO
(412) 349-6303
Signed By Date
4/9/2025
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