340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PRIME THERAPEUTICS SPECIALTY PHARMACY LL
FP198053 Brandywine Counseling and Community Services, Inc
Print
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
PRIME THERAPEUTICS SPECIALTY PHARMACY LL
Pharmacy Address
ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992
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
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