Contract Pharmacy Details

HAPPY HARRY'S INC.
CH03296G WESTSIDE FAMILY HEALTHCARE, INC.

Covered Entity Details

Entity Name

WESTSIDE FAMILY HEALTHCARE, INC.

Subdivision Name

Westside Family Healthcare - Wilmington

Type

HRSA-Funded Health Center

340B ID

CH03296G

Entity Address

1802 West 4th Street
Wilmington, DE 19805-3420

Grant Number

H80CS00789

Participating Start Date

10/1/2010

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

HAPPY HARRY'S INC.

Pharmacy Address

DBA: WALGREENS # 11011
CANBY PARK
1900 MARYLAND AVE
WILMINGTON, DE 19805-4605

Pharmacy Comments

9/30/10 UPDATED PHARMACY NAME (WAS WALGREENS #11011);

Contract Details

Approval Date

10/1/2010

Contract Begin Date

10/1/2010

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

9/9/2010

340B Drug Pricing Program Database