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NAI SATURN EASTERN LLC
CH037030 Mary's Center For Maternal And Child Care, Inc.
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Covered Entity Details
Entity Name
Mary's Center For Maternal And Child Care, Inc.
Subdivision Name
Adams Morgan DC
Type
HRSA-Funded Health Center
340B ID
CH037030
Entity Address
2333 Ontario Rd NW
Washington, DC 20009-2627
Grant Number
H80CS04202
Participating Start Date
7/1/2014
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
NAI SATURN EASTERN LLC
Pharmacy Address
DBA SAFEWAY PHARMACY #1276
6500 PINEY BRANCH RD NW
WASHINGTON, DC 20012
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/25/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dara Koppelman, EVP of Health Services and Programs
(202) 545-2063
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
7/15/2020
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