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LIFE TREE PHARMACY
RWI19063 Family and Community Service of Delaware County
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Covered Entity Details
Entity Name
Family and Community Service of Delaware County
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19063
Entity Address
600 N Olive St
Media, PA 19063
Grant Number
H89HA00013
Participating Start Date
4/1/2014
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
LIFE TREE PHARMACY
Pharmacy Address
800 CHESTER PIKE
SHARON HILL, PA 19079
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Alan Edelstein, Executive Director
(610) 566-7540
Contract Pharmacy Representative
Life Tree Pharmacy
Mark Taglianetti, CEO
(610) 489-6640
Signed By Date
4/15/2015
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