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PHYSICIANS RX PHARMACY, LLC
RWII20018 The Women's Collective
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Covered Entity Details
Entity Name
The Women's Collective
Subdivision Name
Type
Ryan White Part B
340B ID
RWII20018
Entity Address
1331 Rhode Island Ave NE
Washington, DC 20018
Grant Number
X07HA00045
Participating Start Date
4/1/2014
Last Recertification Date
3/10/2016
Entity Termination Date
4/1/2016
Pharmacy Details
Pharmacy Name
PHYSICIANS RX PHARMACY, LLC
Pharmacy Address
7525 GREENWAY CENTER DRIVE SUITE 202
GREENBELT, MD 20770
Pharmacy Comments
Contract Details
Approval Date
4/7/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Contacts
Covered Entity Signing Official
Patricia Nalls, Director
(202) 483-7003
Contract Pharmacy Representative
Donald Smith, CEO
(301) 477-3367
Signed By Date
4/7/2014
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