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PHARMBLUE LLC DBA AVITA PHARMACY 1059
STD18603 Caring Communities For AIDS, Inc.
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Covered Entity Details
Entity Name
Caring Communities For AIDS, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD18603
Entity Address
60 Public Square
FL 7
Wilkes-Barre, PA 18701
Grant Number
NH25PS005144
Participating Start Date
1/1/2017
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
10/27/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/11/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
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