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PHYSICIAN'S RX PHARMACY, LLC
RWII60608 Alliance Care 360
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Covered Entity Details
Entity Name
Alliance Care 360
Subdivision Name
Type
Ryan White Part B
340B ID
RWII60608
Entity Address
2929 S Wabash Avenue
Suite
202
Chicago, IL 60616-2327
Grant Number
X07HA00013-27-00
Participating Start Date
4/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PHYSICIAN'S RX PHARMACY, LLC
Pharmacy Address
PHYSICIANS RX PHARMACY, LLC
9701 APOLLO DRIVE
#400
LARGO, MD 20774
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Ariq Cabbler, Executive Director
(312) 808-1044 Ext: 101
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
10/13/2017
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