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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWI10532 Hudson Valley Community Services, Inc.
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Covered Entity Details
Entity Name
Hudson Valley Community Services, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI10532
Entity Address
40 Saw Mill River Road
Hawthorne, NY 10532
Grant Number
H89HA00020
Participating Start Date
1/1/2014
Last Recertification Date
2/6/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
12/6/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jeffrey Kraus, Executive Director
(914) 785-8210
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
12/2/2013
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