340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GOOLRICK'S PHARMACY
STD22408 FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
Print
Covered Entity Details
Entity Name
FREDERICKSBURG AREA HEALTH AND SUPPORT SERVICES
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD22408
Entity Address
4343 Plank Road
SUITE 100
FREDERICKSBURG, VA 22407
Grant Number
NU62PS924552
Participating Start Date
10/1/2017
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
GOOLRICK'S PHARMACY
Pharmacy Address
SMOKEYRUN, LLC
901 CAROLINE ST
FREDERICKSBURG, VA 22401-5807
Pharmacy Comments
Contract Details
Approval Date
10/3/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph W Lyttle, Executive Director
(540) 907-4555 Ext: 120
Contract Pharmacy Representative
Goolrick's Pharmacy
Christopher Conder, Owner
(540) 373-3411
Signed By Date
10/3/2018
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