Contract Pharmacy Details

LAWRENCE HYDE CORP
CH034100 PORTSMOUTH COMMUNITY HEALTH CENTER, INC.,d/b/a Hampton Roads Community Health Center

Covered Entity Details

Entity Name

PORTSMOUTH COMMUNITY HEALTH CENTER, INC.,d/b/a Hampton Roads Community Health Center

Subdivision Name

PORTSMOUTH COMMUNITY HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH034100

Entity Address

664 Lincoln St
Portsmouth, VA 23704-4818

Grant Number

H80CS00729

Participating Start Date

1/1/1994

Last Recertification Date

1/31/2023

Entity Termination Date

1/1/2024

Pharmacy Details

Pharmacy Name

LAWRENCE HYDE CORP

Pharmacy Address

1156 GEORGE WASHINGTON HWY N
LAWRENCE PHARMACY
CHESAPEAKE, VA 23323-4997

Pharmacy Comments

3/17/11 UPDATED ADDR (WAS 11566 GEORGE WASHINGTON HWY);

Contract Details

Approval Date

10/22/2010

Contract Begin Date

10/22/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/12/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Barbara Willis, CEO
(757) 393-6363

Contract Pharmacy Representative

CHRIS MERCER, PHARMACY MANAGER
(757) 487-3458

Signed By Date

10/7/2010

340B Drug Pricing Program Database