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VRX 1 LLC
RWI23704 Urban League of Hampton Roads
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Covered Entity Details
Entity Name
Urban League of Hampton Roads
Subdivision Name
Portsmouth
Type
Ryan White Part A
340B ID
RWI23704
Entity Address
702 London Street
Portsmouth, VA 23704
Grant Number
H89HA00053
Participating Start Date
1/1/2019
Last Recertification Date
1/28/2020
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
VRX 1 LLC
Pharmacy Address
D/B/A HAGUE PHARMACY
400 GRESHAM DR # 104
NORFOLK, VA 23507
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Stephen L Williams, Medical Case Manager
(757) 627-0864
Contract Pharmacy Representative
Hague Pharmacy
Vish Patel, Owner
(757) 285-6001
Signed By Date
1/13/2020
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