Ryan White Part A · PA
Mazzoni Center
- 0Registered locations
- 1Associated locations
- 60Contract pharmacies
- 24With no end date
- 1 April 2018In 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.
Cite this page
Velarion Records, “Mazzoni Center” (340B ID RWI19147), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RWI19147
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 April 2018
- Certification date
- 11 February 2026
- Record last edited
- 11 February 2026
Identifiers
- 340B ID
- RWI19147
- Entity type as filed
- RWI
- Grant number
- H89HA00013
1348 Bainbridge Street, Philadelphia PA 19147
Associated locations
| Organization | Address | Where |
|---|---|---|
| Mazzoni Center | 1348 Bainbridge Street | Philadelphia PA 19147 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| BRIOVARX OF MAINE INC | SOUTH PORTLAND, ME | 1 July 2018 | no end date filed |
| BRIOVARX OF MASSACHUSETTS, LLC | AVON, MA | 1 July 2018 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 January 2024 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 January 2019 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 January 2024 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 January 2024 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 January 2024 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 January 2019 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 January 2024 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 January 2024 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 January 2024 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 1 January 2024 | no end date filed |
| COORDINATED CARE NETWORK | PITTSBURGH, PA | 1 April 2025 | no end date filed |
| COORDINATED CARE NETWORK PHARMACY | HARRISBURG, PA | 1 April 2025 | no end date filed |
| COORDINATED CARE NETWORK PHARMACY | PHILADELPHIA, PA | 1 April 2025 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | 1 January 2024 | no end date filed |
| DELAWARE CVS PHARMACY, L.L.C. | CLAYMONT, DE | 1 October 2025 | no end date filed |
| OPTUM FRONTIER THERAPIES II, LLC | LAS VEGAS, NV | 1 July 2018 | no end date filed |
| OPTUM PHARMACY 700, LLC | PINE BROOK, NJ | 1 July 2024 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 April 2025 | no end date filed |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | 1 July 2018 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 January 2019 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | 1 January 2024 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | 1 January 2024 | no end date filed |
| WALGREEN EASTERN CO., INC. | GLENOLDEN, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | KING OF PRUSSIA, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 24 March 2026 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 24 March 2026 |
| Walgreens #21420 | Mechanicsville, VA | 1 January 2026 | 24 March 2026 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | 1 July 2018 | 24 March 2026 |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | 1 January 2024 | 1 October 2025 |
| WALGREEN EASTERN CO INC | PHILADELPHIA, PA | 1 July 2018 | 30 January 2025 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 29 January 2025 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 21 January 2025 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 12 November 2024 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 15 November 2023 |
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | 1 July 2018 | 2 March 2023 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 2 March 2023 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 1 March 2023 |
| PENNSYLVANIA CVS PHARMACY, L.L.C. | PHILADELPHIA, PA | 1 January 2019 | 19 December 2022 |
| WALGREEN EASTERN CO. INC. | PHILADELPHIA, PA | 1 July 2018 | 17 March 2022 |
| PROCARE PHARMACY, L.L.C. | PHILADELPHIA, PA | 1 January 2019 | 18 May 2021 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 July 2018 | 24 February 2021 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 July 2018 | 24 February 2021 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | 1 July 2018 | 23 February 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | 1 July 2018 | 23 February 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | 1 July 2018 | 23 February 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | 1 July 2018 | 23 February 2021 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | 1 July 2018 | 22 April 2020 |
| WALGREEN CO | PERRYSBURG, OH | 1 July 2018 | 22 April 2020 |
| WALGREEN EASTERN CO INC | BETHLEHEM, PA | 1 July 2018 | 22 April 2020 |
| WALGREENS MAIL SERVICE, INC. | TEMPE, AZ | 1 July 2018 | 22 April 2020 |
| WALGREENS MAIL SERVICE, INC. | ORLANDO, FL | 1 July 2018 | 22 April 2020 |
| GOLD'S PHARMACY | PHILADELPHIA, PA | 1 July 2018 | 16 March 2020 |
| WALGREEN EASTERN CO., INC. | PHILADELPHIA, PA | 1 July 2018 | 12 October 2018 |
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.