340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWII73112 RAIN Oklahoma dba CarePoint, Inc
Print
Covered Entity Details
Entity Name
RAIN Oklahoma dba CarePoint, Inc
Subdivision Name
Type
Ryan White Part B
340B ID
RWII73112
Entity Address
3800 N Classen Blvd
Suite 205
Oklahoma City, OK 73118
Grant Number
X07HA00048
Participating Start Date
7/1/2018
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
4/20/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie K Lovegrove, Executive Director
(405) 232-2437
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
4/4/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session