Contract Pharmacy Details

HAPPY HARRY'S INC.
FQHCLA297 URBAN HEALTH INITIATIVES, INC.

Covered Entity Details

Entity Name

URBAN HEALTH INITIATIVES, INC.

Subdivision Name

Urban Health Initiatives

Type

Health Center Program Look-Alike

340B ID

FQHCLA297

Entity Address

1408 S. Broad Street
Philadelphia, PA 19146

Grant Number

LALCS00130

Participating Start Date

7/1/2012

Last Recertification Date

3/3/2015

Entity Termination Date

7/1/2015

Pharmacy Details

Pharmacy Name

HAPPY HARRY'S INC.

Pharmacy Address

DBA: WALGREENS # 11034
NEW CASTLE
740 FERRY CUT-OFF
NEW CASTLE, DE 19720

Pharmacy Comments

Contract Details

Approval Date

8/24/2012

Contract Begin Date

8/24/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2015

Contacts

Covered Entity Signing Official

Kobie T. West, CEO
(215) 755-0700 Ext: 132

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

8/27/2012

340B Drug Pricing Program Database