340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PROPRIUM PHARMACY
RWI23704 Urban League of Hampton Roads
Print
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
PROPRIUM PHARMACY
Pharmacy Address
535 INDEPENDENCE PKWY STE 400
CHESAPEAKE, VA 23320-5176
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
Sentara Enterprises
Jim R Schwamburger, Director
(757) 553-3211
Signed By Date
1/13/2020
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