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HAPPY HARRY'S INC.
FP198053 Brandywine Counseling and Community Services, Inc
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Covered Entity Details
Entity Name
Brandywine Counseling and Community Services, Inc
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP198053
Entity Address
2713 Lancaster Avenue
Wilmington, DE 19805
Grant Number
FPHPA006418-01-00
Participating Start Date
7/1/2019
Last Recertification Date
6/4/2020
Entity Termination Date
7/1/2021
Pharmacy Details
Pharmacy Name
HAPPY HARRY'S INC.
Pharmacy Address
DBA: WALGREENS # 11017
1120 PULASKI HIGHWAY
BEAR, DE 19701
Pharmacy Comments
Contract Details
Approval Date
10/8/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Lynn Fahey, Cheif Executive Officer
(302) 225-9269
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/8/2019
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