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SOLEIL PHARMACY
CH031270 FAMILY HEALTH CENTERS OF BALTIMORE, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF BALTIMORE, INC.
Subdivision Name
HEADQUARTERS
Type
HRSA-Funded Health Center
340B ID
CH031270
Entity Address
631 CHERRY HILL ROAD
BALTIMORE, MD 21225
Grant Number
H80CS00436
Participating Start Date
7/1/1996
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
SOLEIL PHARMACY
Pharmacy Address
801 LANDMARK DR STE B
GLEN BURNIE, MD 21061-4986
Pharmacy Comments
Contract Details
Approval Date
1/13/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/19/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian Aoki Hawkins, President and Chief Executive Officer
(410) 354-2001
Contract Pharmacy Representative
Soleil Pharmacy
Thuy Lao, Owner
(443) 281-9157
Signed By Date
1/13/2021
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