340B Drug Pricing Program Database

Pharmacy Name

LANGLEY PARK PHARMACY

Pharmacy Address

LANGLEY PARK PHARMACY
7676 NEW HAMPSHIRE AVENUE
SUITE 104
TAKOMA PARK, MD 20912

Pharmacy Comments

Approval Date

4/1/2005

Contract Begin Date

10/20/2011

Carve-In Effective Date

Contract Comments

3/31/10 TERM @ REQUEST OF ENTITY - 6/18/09 ADMIN CORRECTION 340B ID # CHANGED (WAS CH031690HO01) 10/20/11 contract reinstated, previously contracted from 4/1/05 thru 3/31/10

Contract Termination Date
Termination Reason

1/16/2017
Pharmacy closed

Covered Entity Signing Official

Bill Flynt, CEO
(301) 340-7525

Contract Pharmacy Representative

Merlyn Crandon-Enyi, Owner
(301) 445-6050

Signed By Date

10/20/2011