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ADVANCED PHARMACY, LLC
CH032960 WESTSIDE FAMILY HEALTHCARE, INC.
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Covered Entity Details
Entity Name
WESTSIDE FAMILY HEALTHCARE, INC.
Subdivision Name
Westside Family Healthcare - Administration Office
Type
HRSA-Funded Health Center
340B ID
CH032960
Entity Address
300 Water Street
Suite 200
Wilmington, DE 19801-5043
Grant Number
H80CS00789
Participating Start Date
4/1/2000
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
ADVANCED PHARMACY, LLC
Pharmacy Address
ADVANCED PHARMACY
350 FEASTER ROAD
SUITE D
GREENVILLE, SC 29615-6176
Pharmacy Comments
Contract Details
Approval Date
4/13/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/2/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LOLITA A. LOPEZ, PRESIDENT AND CEO
(302) 656-8292
Contract Pharmacy Representative
Gregory P. Santulli, President
(770) 339-1190 Ext: 7063
Signed By Date
4/13/2016
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