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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWI95811 Sunburst Projects
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Covered Entity Details
Entity Name
Sunburst Projects
Subdivision Name
Type
Ryan White Part A
340B ID
RWI95811
Entity Address
2143 Hurley Way , Suite 240
Sacramento, CA 95825
Grant Number
H89HA00048
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
4/8/2014
Contract Begin Date
4/14/2014
Carve-In Effective Date
Contract Comments
04/14/2014 immediate begin date authorized
Contract Termination Date
Termination Reason
12/31/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Geri DeLaRosa, Executive Director
(916) 440-0889 Ext: 306
Contract Pharmacy Representative
PharmBlue
Gabriel Santry, Director of National Accounts
(724) 779-4720 Ext: 017
Signed By Date
4/8/2014
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