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MIRAMED, INC.
CH03702A UNITY HEALTH CARE INC
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Covered Entity Details
Entity Name
UNITY HEALTH CARE INC
Subdivision Name
Upper Cardozo Health Center
Type
HRSA-Funded Health Center
340B ID
CH03702A
Entity Address
3020 14th Street, NW
Washington, DC 20009
Grant Number
H80CS00070
Participating Start Date
1/1/2004
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MIRAMED, INC.
Pharmacy Address
1613 RHODE ISLAND AVENUE NE
WASHINGTON, DC 20018
Pharmacy Comments
Contract Details
Approval Date
4/28/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/19/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
VINCENT A. KEANE, CEO
(202) 715-6562
Contract Pharmacy Representative
Jen Hoefner, VP Operations
(202) 248-2998
Signed By Date
4/28/2017
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