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HAPPY HARRY'S INC.
RWII198011 Delaware HIV Services, INC
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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 # 11079
38627 BENRO DRIVE STE 1
DELMAR, DE 19940
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
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
4/14/2020
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