Velarion Records

Public registries, as they were filed.

Ryan White Part D · PA

Mazzoni Center

  • 0Registered locations
  • 1Associated locations
  • 41Contract pharmacies
  • 0With no end date
  • 1 October 2016In 340B since

Finances, as filed

This entity type does not file a Medicare cost report; no finances are recorded.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “Mazzoni Center” (340B ID RW424852A), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RW424852A

Register detail and identifiers

Participation, as filed

Participating
FALSE
Participation start date
1 October 2016
Termination date
1 April 2021
Termination reason
Business decision by the Covered Entity
Certification date
16 February 2020
Record last edited
1 April 2021

Identifiers

340B ID
RW424852A
Entity type as filed
RW4
Grant number
H12HA24852

1348 Bainbridge Street, Philadelphia PA 19147

Associated locations

OrganizationAddressWhere
Mazzoni Center1348 Bainbridge StreetPhiladelphia PA 19147

Pharmacy contracts

PharmacyWhereBeginsEnds
CYSTIC FIBROSIS SERVICESFRISCO, TX1 July 201822 April 2020
CYSTIC FIBROSIS SERVICES, LLCFRISCO, TX1 July 201822 April 2020
PRIME THERAPEUTICS SPECIALTY PHARMACY LLORLANDO, FL1 July 201822 April 2020
WALGREEN COPERRYSBURG, OH1 July 201822 April 2020
WALGREEN EASTERN CO INCPHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO INCBETHLEHEM, PA1 July 201822 April 2020
WALGREEN EASTERN CO. INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.GLENOLDEN, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.KING OF PRUSSIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREEN EASTERN CO., INC.PHILADELPHIA, PA1 October 201622 April 2020
WALGREENS MAIL SERVICE, INC.TEMPE, AZ1 July 201822 April 2020
WALGREENS MAIL SERVICE, INC.ORLANDO, FL1 July 201822 April 2020
WALGREENS SPECIALTY PHARMACY, LLCPITTSBURGH, PA1 July 201822 April 2020
WALGREENS SPECIALTY PHARMACY, LLCFRISCO, TX1 July 201822 April 2020
WALGREENS SPECIALTY PHARMACY, LLCCANTON, MI1 July 201822 April 2020
WALGREENS SPECIALTY PHARMACY, LLCBEAVERTON, OR1 July 201822 April 2020
AETNA SPECIALTY PHARMACY, LLCORLANDO, FL1 July 201916 March 2020
BRIOVARX OF MAINE INCSOUTH PORTLAND, ME1 April 201816 March 2020
BRIOVARX OF MASSACHUSETTS, LLCAVON, MA1 April 201816 March 2020
CAREMARK ILLINOIS SPECIALTY PHARMACY, LLMOUNT PROSPECT, IL1 April 201816 March 2020
CAREMARK NEW JERSEY SPECIALTY PHCY, LLCFAIRFIELD, NJ1 April 201816 March 2020
GOLD'S PHARMACYPHILADELPHIA, PA1 July 201816 March 2020
OPTUM FRONTIER THERAPIES II, LLCLAS VEGAS, NV1 April 201816 March 2020
OPTUM PHARMACY 702, LLCJEFFERSONVILLE, IN1 April 201816 March 2020
OPTUM PHARMACY 705, LLCBIRMINGHAM, AL1 April 201816 March 2020
OPTUM PHARMACY 706, INC.LONG ISLAND CITY, NY1 April 201816 March 2020
PENNSYLVANIA CVS PHARMACY, L.L.C.PHILADELPHIA, PA1 January 201916 March 2020
PROCARE PHARMACY DIRECT, L.L.C.MONROEVILLE, PA1 April 201816 March 2020
PROCARE PHARMACY, L.L.C.PHILADELPHIA, PA1 April 201816 March 2020

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.