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EXPRESS PHARMACY
CHC12871-00 GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Ridgewood
Type
HRSA-Funded Health Center
340B ID
CHC12871-00
Entity Address
4379 Ridgewood Center Dr., Suite 102
Woodbridge, VA 22192
Grant Number
H80CS12871
Participating Start Date
10/1/2010
Last Recertification Date
2/3/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
EXPRESS PHARMACY
Pharmacy Address
1690 OLD BRIDGE RD
WOODBRIDGE, VA 22192
Pharmacy Comments
Contract Details
Approval Date
1/30/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Frank Principi, Executive Director
(703) 680-7950
Contract Pharmacy Representative
Joel Sarsah, Director
(703) 484-8000
Signed By Date
1/30/2014
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