340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
POLARIS PHARMACY SERVICES OF MARYLAND, L
HV200201 FAMILY AND MEDICAL COUNSELING
Print
Covered Entity Details
Entity Name
FAMILY AND MEDICAL COUNSELING
Subdivision Name
Type
Ryan White Part C
340B ID
HV200201
Entity Address
2041 M.L. KING, JR AVE SE
SUITE 303
WASHINGTON, DC 20020
Grant Number
H76HA00178
Participating Start Date
7/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
POLARIS PHARMACY SERVICES OF MARYLAND, L
Pharmacy Address
7200 RUTHERFORD RD STE 170
WINDSOR MILL, MD 21244
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
Poaris Specialty Pharmacy
David Rombro, CEO
(954) 919-1818
Signed By Date
4/12/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session