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GREENHILL SPECIALTY PHARMACY LLC.
RWII198011 Delaware HIV Services, INC
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Covered Entity Details
Entity Name
Delaware HIV Services, INC
Subdivision Name
Type
Ryan White Part B
340B ID
RWII198011
Entity Address
100 W. 10th Street Suite 415
Wilmington, DE 19801
Grant Number
X07HA00081
Participating Start Date
10/1/2014
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GREENHILL SPECIALTY PHARMACY LLC.
Pharmacy Address
IVIRA SPECIALTY PHARMACY
2500 W 4TH ST
STE 2
WILMINGTON, DE 19805
Pharmacy Comments
Contract Details
Approval Date
10/14/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tyler Spinolla Waggaman Berl, Executive Director
(302) 654-5471
Contract Pharmacy Representative
Ivira Pharmacy
Jay Patel, CEO
(570) 677-5509
Signed By Date
10/14/2023
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