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PHARMBLUE LLC DBA AVITA PHARMACY 1059
HV00738 AIDS Council of Northeastern New York, Inc.
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Covered Entity Details
Entity Name
AIDS Council of Northeastern New York, Inc.
Subdivision Name
d.b.a Alliance for Positive Health
Type
Ryan White Part C
340B ID
HV00738
Entity Address
927 Broadway
Albany, NY 12207-1306
Grant Number
H76HA00738
Participating Start Date
1/1/2014
Last Recertification Date
2/23/2017
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
11/22/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Michele McClave, Executive Director
(518) 434-4686 Ext: 2431
Contract Pharmacy Representative
PharmBlue
Joseph Pohl, CEO
(724) 779-4720 Ext: 001
Signed By Date
11/7/2013
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