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NORTH PHILLY PHARMACY
HV01703B Kensington Hospital- Erie Medical Center
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Covered Entity Details
Entity Name
Kensington Hospital- Erie Medical Center
Subdivision Name
Kensington Hospital
Type
Ryan White Part C
340B ID
HV01703B
Entity Address
516 W. Erie Avenue
Philadelphia, PA 19140
Grant Number
H76HA01703
Participating Start Date
4/1/2017
Last Recertification Date
2/23/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
NORTH PHILLY PHARMACY
Pharmacy Address
118 DIAMOND ST
PHILADELPHIA, PA 19122
Pharmacy Comments
Contract Details
Approval Date
1/30/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
North Philly Pharmacy
Bruce Goldberg, Pharmacist
(215) 763-7080
Signed By Date
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