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SMITH'S PHARMACY
CH032900 DELAWARE VALLEY COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Subdivision Name
Fairmount Primary Care Center
Type
HRSA-Funded Health Center
340B ID
CH032900
Entity Address
1412-22 FAIRMOUNT AVENUE
PHILADELPHIA, PA 19130-2908
Grant Number
H80CS00833
Participating Start Date
1/1/2003
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY
Pharmacy Address
841 EAST HUNTING PARK AVE
PHILADELPHIA, PA 19124
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott McNeal, DO, President and CEO
(215) 684-5344
Contract Pharmacy Representative
Smiths Pharmacy II
Krishna Chaluvadi, Owner
(215) 537-3000
Signed By Date
4/11/2025
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