340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
EXPRESS PHARMACY
CHC12871-01 GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Evergreen Terrace
Type
HRSA-Funded Health Center
340B ID
CHC12871-01
Entity Address
9705 Liberia Ave
Manassas, VA 20110-1743
Grant Number
H80CS12871
Participating Start Date
7/1/2014
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
EXPRESS PHARMACY
Pharmacy Address
9705 LIBERIA AVENUE
SUITE 201
MANASSAS, VA 20110
Pharmacy Comments
Contract Details
Approval Date
4/18/2014
Contract Begin Date
7/1/2014
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
4/15/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session