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GRUBB'S PHARMACY SE, INC.
CHC06672-00 Community of Hope Inc
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Covered Entity Details
Entity Name
Community of Hope Inc
Subdivision Name
COMMUNITY OF HOPE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC06672-00
Entity Address
2155 Champlain St NW
Washington, DC 20009-2618
Grant Number
H80CS06672
Participating Start Date
7/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GRUBB'S PHARMACY SE, INC.
Pharmacy Address
GRUBBS PHARMACY SE, INC.
1800 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020-6900
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/4/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kelly Sweeney McShane, Executive director
(202) 407-7747 Ext: 2024077746
Contract Pharmacy Representative
Grubbs
Michael Kim, President
(202) 503-3262
Signed By Date
1/15/2019
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