340B Drug Pricing Program Database

Pharmacy Name

NORTH PHILLY PHARMACY

Pharmacy Address

118 DIAMOND ST
PHILADELPHIA, PA 19122

Pharmacy Comments

Approval Date

9/15/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Yoshiaki Yamasaki, Executive Director
(215) 888-6080

Contract Pharmacy Representative

Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763

Signed By Date

9/15/2015