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GRUBBS CARE PHARMACY NW 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
GRUBBS CARE PHARMACY NW INC.
Pharmacy Address
1517 17TH ST NW
WASHINGTON, DC 20036
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/29/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Jessica H. Boyd, CEO
(202) 672-3091
Contract Pharmacy Representative
Medly
Kyryl Kobanov, 340b Compliance Manager
(202) 503-2644
Signed By Date
4/1/2022
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