340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
POLARIS PHARMACY SERVICES
STD96701 Department of Corrections and Rehabilitation, State of Hawaii
Print
Covered Entity Details
Entity Name
Department of Corrections and Rehabilitation, State of Hawaii
Subdivision Name
Halawa Correctional Facility
Type
Sexually Transmitted Diseases
340B ID
STD96701
Entity Address
99-902 Moanalua Road
Aiea, HI 96701
Grant Number
NU51PS005155-01-01
Participating Start Date
1/1/2024
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
POLARIS PHARMACY SERVICES
Pharmacy Address
125 TITUS AVE
WARRINGTON, PA 18976
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Romey J Glidewell, APRN, CHCA
(808) 587-1252
Contract Pharmacy Representative
Polaris Pharmacy Services
Jaime Lockett, Corrections Customer Care Manager
(267) 487-8900 Ext: 8904
Signed By Date
4/15/2025
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