Contract Pharmacy Details

DOGWOOD PHARMACY, INC
CH032960 WESTSIDE FAMILY HEALTHCARE, INC.

Covered Entity Details

Entity Name

WESTSIDE FAMILY HEALTHCARE, INC.

Subdivision Name

Westside Family Healthcare - Administration Office

Type

HRSA-Funded Health Center

340B ID

CH032960

Entity Address

300 Water Street
Suite 200
Wilmington, DE 19801-5043

Grant Number

H80CS00789

Participating Start Date

4/1/2000

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

DOGWOOD PHARMACY, INC

Pharmacy Address

D/B/A MEDSCRIPTS MEDICAL PHARMACY
1325 MILLER ROAD
SUITE K
GREENVILLE, SC 29607-6540

Pharmacy Comments

Contract Details

Approval Date

7/15/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

DONNA M. GOODMAN, VP AND CFO/COO
(302) 656-8292

Contract Pharmacy Representative

CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665

Signed By Date

7/15/2020

340B Drug Pricing Program Database