Contract Pharmacy Details

HAPPY HARRY'S INC.
RWII198011 Delaware HIV Services, INC

Covered Entity Details

Entity Name

Delaware HIV Services, INC

Subdivision Name

Type

Ryan White Part B

340B ID

RWII198011

Entity Address

100 W. 10th Street Suite 415
Wilmington, DE 19801

Grant Number

X07HA00081

Participating Start Date

10/1/2014

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

HAPPY HARRY'S INC.

Pharmacy Address

DBA: WALGREENS # 11022
FOX RUN
128 FOX HUNT DR
BEAR, DE 19701-2535

Pharmacy Comments

9/30/10 UPDATED PHARMACY NAME (WAS WALGREENS #11022);

Contract Details

Approval Date

4/8/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Brad Michael Shannon, Program Director
(302) 654-5471

Contract Pharmacy Representative

Walgreens
Lisa Skedzielewski, PharmD
(302) 660-3901

Signed By Date

4/8/2020

340B Drug Pricing Program Database