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PHARMBLUE LLC DBA AVITA PHARMACY 1059
HV00814A Chattanooga C.A.R.E.S. DBA CEMPA COMMUNITY CARE
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Covered Entity Details
Entity Name
Chattanooga C.A.R.E.S. DBA CEMPA COMMUNITY CARE
Subdivision Name
Mobile Unit
Type
Ryan White Part C
340B ID
HV00814A
Entity Address
1000 E. 3rd Street
Suite 300
Chattanooga, TN 37403
Grant Number
H76HA00814
Participating Start Date
1/1/2018
Last Recertification Date
2/7/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
11/22/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shannon Stephenson, CEO
(423) 648-9911
Contract Pharmacy Representative
PharmBlue
Joseph Pohl, CEO
(724) 779-4720 Ext: 001
Signed By Date
10/10/2017
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