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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWI19027 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
RWI19027
Entity Address
1235 Spring Garden Street
1st Floor
Philadelphia, PA 19123
Grant Number
H89HA00013
Participating Start Date
7/1/2013
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
6/28/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary Bell, Executive Director
(215) 769-3561
Contract Pharmacy Representative
PharmBlue
Joseph Pohl, CEO
(724) 779-4720 Ext: 001
Signed By Date
6/28/2013
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