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EKANTIK LLC.
RWII19801 AIDS Delaware Inc
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Covered Entity Details
Entity Name
AIDS Delaware Inc
Subdivision Name
Type
Ryan White Part B
340B ID
RWII19801
Entity Address
100 West 10th Street, Suite 315
Wilmington, DE 19801
Grant Number
5 X07HA00081-31-00
Participating Start Date
7/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
EKANTIK LLC.
Pharmacy Address
IVIRA PHARMACY
692 N DUPONT BLVD
STE 692
MILFORD, DE 19963
Pharmacy Comments
Contract Details
Approval Date
3/4/2021
Contract Begin Date
3/4/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John P. Gardner, Executive Director
(302) 652-6776 Ext: 206
Contract Pharmacy Representative
GreenHill Pharmacy
Jay C patel, Founder and President
(302) 660-8847
Signed By Date
3/4/2021
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