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EXCEL PHARMACY
FQHCLA414B METRO HEALTH, INC.
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Covered Entity Details
Entity Name
METRO HEALTH, INC.
Subdivision Name
600 Pennsylvania Avenue, SE
Type
Health Center Program Look-Alike
340B ID
FQHCLA414B
Entity Address
600 Pennsylvania Avenue, SE # Unit #LL1
WASHINGTON, DC 20003-4316
Grant Number
LALCS39530
Participating Start Date
4/1/2024
Last Recertification Date
Entity Termination Date
4/1/2025
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
1/12/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Duane Taylor, Interim CEO and COO
(202) 638-0750 Ext: 2027744595
Contract Pharmacy Representative
Excel Pharmacy
Melat Debela, Owner
(202) 652-1776
Signed By Date
1/12/2024
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