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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWI02130 Multicultural AIDS Coalition
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Covered Entity Details
Entity Name
Multicultural AIDS Coalition
Subdivision Name
Type
Ryan White Part A
340B ID
RWI02130
Entity Address
7 Palmer Street, 3rd Floor
Roxbury, MA 02119
Grant Number
H89HA00011
Participating Start Date
7/1/2014
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
5/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary K. Daffin, Executive Director
(617) 840-8604
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
4/10/2014
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