1 associated location — data as of October 5, 2026
Ryan White Part D · Philadelphia, PA
Mazzoni Center
Taking partNoTermination date filedApril 1, 2021Last certifiedFebruary 16, 2020
- 0Registered locations
- 1Associated locations
- 41Contract pharmacies
- 0With no end date
- October 1, 2016In 340B since
Finances, as filed
These figures come from the hospital Medicare cost report, form CMS-2552-10, which is not filed under this registration type.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- October 1, 2016
- Termination date
- April 1, 2021
- Termination reason
- Business decision by the Covered Entity
- Certification date
- February 16, 2020
- Record last edited
- April 1, 2021
Identifiers
- 340B ID
- RW424852A
- Entity type as filed
- RW4
- Grant number
- H12HA24852
1348 Bainbridge Street, Philadelphia PA 19147
Associated locations
| Mazzoni Center | 1348 Bainbridge Street | Philadelphia PA 19147 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed41
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| AETNA SPECIALTY PHARMACY, LLC | ORLANDO, FL | July 1, 2019 | March 16, 2020 |
| BRIOVARX OF MAINE INC | SOUTH PORTLAND, ME | April 1, 2018 | March 16, 2020 |
| BRIOVARX OF MASSACHUSETTS, LLC | AVON, MA | April 1, 2018 | March 16, 2020 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | April 1, 2018 | March 16, 2020 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | April 1, 2018 | March 16, 2020 |
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | July 1, 2018 | April 22, 2020 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | July 1, 2018 | April 22, 2020 |
| GOLD'S PHARMACY | PHILADELPHIA, PA | July 1, 2018 | March 16, 2020 |
| OPTUM FRONTIER THERAPIES II, LLC | LAS VEGAS, NV | April 1, 2018 | March 16, 2020 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | April 1, 2018 | March 16, 2020 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | April 1, 2018 | March 16, 2020 |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | April 1, 2018 | March 16, 2020 |
| PENNSYLVANIA CVS PHARMACY, L.L.C. | PHILADELPHIA, PA | January 1, 2019 | March 16, 2020 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | July 1, 2018 | April 22, 2020 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | April 1, 2018 | March 16, 2020 |
| PROCARE PHARMACY, L.L.C. | PHILADELPHIA, PA | April 1, 2018 | March 16, 2020 |
| WALGREEN CO | PERRYSBURG, OH | July 1, 2018 | April 22, 2020 |
| WALGREEN EASTERN CO INC | BETHLEHEM, PA | July 1, 2018 | April 22, 2020 |
| WALGREEN EASTERN CO INC | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO. INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | KING OF PRUSSIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | GLENOLDEN, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | October 1, 2016 | April 22, 2020 |
| WALGREENS MAIL SERVICE, INC. | TEMPE, AZ | July 1, 2018 | April 22, 2020 |
| WALGREENS MAIL SERVICE, INC. | ORLANDO, FL | July 1, 2018 | April 22, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | July 1, 2018 | April 22, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | July 1, 2018 | April 22, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | July 1, 2018 | April 22, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | July 1, 2018 | April 22, 2020 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_103256.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_103256.xlsx, read October 5, 2026.
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