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TORRESDALE PHARMACY
DSH390115 Jefferson Health Northeast
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Covered Entity Details
Entity Name
Jefferson Health Northeast
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390115
Entity Address
10800 Knights Rd.
PHILADELPHIA, PA 19114
Medicare Provider Number
390115
Participating Start Date
10/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
TORRESDALE PHARMACY
Pharmacy Address
3998 RED LION RD STE 105
PHILADELPHIA, PA 19114
Pharmacy Comments
Contract Details
Approval Date
4/10/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Degnan, Vice President of Finance
(215) 710-3741
Contract Pharmacy Representative
Aria Health
Dominic Webster, Administrative Director of Pharmacy Services
(215) 612-4180
Signed By Date
4/10/2018
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