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SUNRAY DRUGS PROGRESS PLAZA
RWI19107 ACTIONAIDS dba Action Wellness
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Covered Entity Details
Entity Name
ACTIONAIDS dba Action Wellness
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19107
Entity Address
1216 ARCH STREET
6TH FLOOR
PHILADELPHIA, PA 19107
Grant Number
H89HA00013
Participating Start Date
1/1/2010
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
SUNRAY DRUGS PROGRESS PLAZA
Pharmacy Address
1501 N BROAD ST STE 9
PHILADELPHIA, PA 19122
Pharmacy Comments
Contract Details
Approval Date
4/6/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JANE BAKER, DIRECTOR
(215) 685-5667
Contract Pharmacy Representative
Dao Giang, director of pharmacy
(215) 235-4000
Signed By Date
4/6/2015
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