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PHARMBLUE LLC DBA AVITA PHARMACY 1059
HV200201 FAMILY AND MEDICAL COUNSELING
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Covered Entity Details
Entity Name
FAMILY AND MEDICAL COUNSELING
Subdivision Name
Type
Ryan White Part C
340B ID
HV200201
Entity Address
2041 M.L. KING, JR AVE SE
SUITE 303
WASHINGTON, DC 20020
Grant Number
H76HA00178
Participating Start Date
7/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/14/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
PharmBlue
Joseph Pohl, CEO
(724) 779-4720 Ext: 001
Signed By Date
7/14/2014
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