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EDDYSTONE COMMUNITY PHARMACY
RWI19133 Prevention Point Philadelphia
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Covered Entity Details
Entity Name
Prevention Point Philadelphia
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19133
Entity Address
2913-15 Kensington Avenue
Philadelphia, PA 19134
Grant Number
H89HA00013
Participating Start Date
7/1/2013
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
EDDYSTONE COMMUNITY PHARMACY
Pharmacy Address
1207B CHESTERPIKE
EDDYSTONE, PA 19022
Pharmacy Comments
Contract Details
Approval Date
7/3/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jose A. Benitez, Executive Director
(215) 461-1710
Contract Pharmacy Representative
Fungisai Nota, 340B Program Manager
(610) 675-6594
Signed By Date
7/3/2013
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