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PHARMBLUE LLC DBA AVITA PHARMACY 1059
CHC24162-02 OPPORTUNITIES INDUSTRIALIZATION CENTER INC
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Covered Entity Details
Entity Name
OPPORTUNITIES INDUSTRIALIZATION CENTER INC
Subdivision Name
Mobile Access Health Center (MAHC)
Type
HRSA-Funded Health Center
340B ID
CHC24162-02
Entity Address
111 S FAIRVIEW RD
Rocky Mount, NC 27801-6971
Grant Number
H80CS24162
Participating Start Date
10/1/2016
Last Recertification Date
2/16/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/29/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
PharmBlue
Joseph Pohl, CEO
(724) 779-4720 Ext: 001
Signed By Date
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