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 # 11061
STATE STREET
1215 SOUTH STATE STREET
DOVER, DE 19901

Pharmacy Comments

Contract Details

Approval Date

4/9/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/8/2024
Pharmacy closed

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

4/9/2020

340B Drug Pricing Program Database