340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VRX 1 LLC
RWI00053 LGBT Life Center
Print
Covered Entity Details
Entity Name
LGBT Life Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI00053
Entity Address
248 W. 24th St.
Norfolk, VA 23517
Grant Number
H89HA00053
Participating Start Date
4/1/2013
Last Recertification Date
2/21/2022
Entity Termination Date
4/1/2023
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
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/7/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stacie Walls-Beegle, Executive Director
(757) 640-0929 Ext: 215
Contract Pharmacy Representative
Hague Pharmacy
Vishrut Patel, Manager
(757) 622-0222
Signed By Date
7/17/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session