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GRUBBS CARE PHARMACY NW INC.
CHC26632-00 Whitman-Walker Clinic, Inc.
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Covered Entity Details
Entity Name
Whitman-Walker Clinic, Inc.
Subdivision Name
Whitman-Walker Health
Type
HRSA-Funded Health Center
340B ID
CHC26632-00
Entity Address
1525 14th Street Street Northwest
Washington, DC 20005
Grant Number
H80CS26632
Participating Start Date
4/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GRUBBS CARE PHARMACY NW INC.
Pharmacy Address
GRUBB'S NW SPECIALTY PHARMACY
1517 17TH ST NW FL 1
WASHINGTON, DC 20036-6230
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Naseema Shafi, Chief Executive Officer
(202) 797-3572
Contract Pharmacy Representative
Medly Pharmacy
Nate Coney, VP
(609) 992-9692
Signed By Date
4/15/2022
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