Contract Pharmacy Details

LYON'S PHARMACY
CH0322280 WEST CECIL HEALTH CENTER, INC

Covered Entity Details

Entity Name

WEST CECIL HEALTH CENTER, INC

Subdivision Name

West Cecil Health Center

Type

HRSA-Funded Health Center

340B ID

CH0322280

Entity Address

49 Rock Springs Road
Conowingo, MD 21918

Grant Number

H80CS08766

Participating Start Date

1/1/2009

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

LYON'S PHARMACY

Pharmacy Address

SAHARA CARE LLC
601 REVOLUTION ST
HAVRE DE GRACE, MD 21078

Pharmacy Comments

Contract Details

Approval Date

7/9/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/22/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

MARK J. RAJKOWSKI, President & CEO
(410) 378-9696 Ext: 1114

Contract Pharmacy Representative

Kenny Shah, Owner
(410) 939-4545

Signed By Date

7/9/2015

340B Drug Pricing Program Database