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VRX 1 LLC
RWI23669 LGBT Life Center
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Covered Entity Details
Entity Name
LGBT Life Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI23669
Entity Address
20 Settlers Landing
Hampton, VA 23669
Grant Number
H89HA00053
Participating Start Date
1/1/2018
Last Recertification Date
1/29/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
VRX 1 LLC
Pharmacy Address
D/B/A HAGUE PHARMACY
400 GRESHAM DR # 104
NORFOLK, VA 23507
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Stacie Walls-Beegle, CEO
(757) 640-0929 Ext: 215
Contract Pharmacy Representative
Hague Pharmacy
Vishrut Patel, Manager
(757) 622-0222
Signed By Date
7/16/2018
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