340B Drug Pricing Program Database

Pharmacy Name

ALEXANDRIA HEALTH DEPT PHARMACY

Pharmacy Address

GENERAL MEDICAL CLINIC
1200 NORTH HOWARD STREET
ALEXANDRIA, VA 22304

Pharmacy Comments

Approval Date

10/14/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/3/2024
Pharmacy closed

Covered Entity Signing Official

Basim Khan, Executive Director
(703) 535-5568 Ext: 4104

Contract Pharmacy Representative

ALAN WHITEHEAD, PHARMACIST
(703) 746-4850

Signed By Date

10/14/2016