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GRUBB'S PHARMACY SE, INC.
HV200201 FAMILY AND MEDICAL COUNSELING
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Covered Entity Details
Entity Name
FAMILY AND MEDICAL COUNSELING
Subdivision Name
Type
Ryan White Part C
340B ID
HV200201
Entity Address
2041 M.L. KING, JR AVE SE
SUITE 303
WASHINGTON, DC 20020
Grant Number
H76HA00178
Participating Start Date
7/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
GRUBB'S PHARMACY SE, INC.
Pharmacy Address
GRUBBS PHARMACY SE, INC.
1800 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20020-6900
Pharmacy Comments
Contract Details
Approval Date
1/8/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
Mark Ey, Director of Operations
(410) 218-1823
Signed By Date
1/8/2016
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