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EXCEL PHARMACY
HV200201 FAMILY AND MEDICAL COUNSELING
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Covered Entity Details
Entity Name
FAMILY AND MEDICAL COUNSELING
Subdivision Name
Type
Ryan White Part C
340B ID
HV200201
Entity Address
2041 M.L. KING, JR AVE SE
SUITE 303
WASHINGTON, DC 20020
Grant Number
H76HA00178
Participating Start Date
7/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
EXCEL PHARMACY
Pharmacy Address
EXCEL PHARMACY
3923 S CAPITOL ST SW
UNIT A
WASHINGTON, DC 20032
Pharmacy Comments
Contract Details
Approval Date
1/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
Excel Pharmacy
Melat Debela, Owner
(202) 652-1776
Signed By Date
1/18/2022
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