340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWI303030 Someone Cares, Inc. of Atlanta
Print
Covered Entity Details
Entity Name
Someone Cares, Inc. of Atlanta
Subdivision Name
Type
Ryan White Part A
340B ID
RWI303030
Entity Address
2193 Cascade Road SW
Atlanta, GA 30311
Grant Number
H89HA00007
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
4/11/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ronnie Earl Bass, CEO
(678) 921-2706 Ext: 3
Contract Pharmacy Representative
Phram Blue
Hilary Szczypiorski, Lead Pharm
(855) 779-4720
Signed By Date
4/6/2018
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