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IVIRA PHARMACY
RWII19801 AIDS Delaware Inc
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Covered Entity Details
Entity Name
AIDS Delaware Inc
Subdivision Name
Type
Ryan White Part B
340B ID
RWII19801
Entity Address
100 West 10th Street, Suite 315
Wilmington, DE 19801
Grant Number
5 X07HA00081-31-00
Participating Start Date
7/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
IVIRA PHARMACY
Pharmacy Address
824 N MARKET ST
STE 103
WILMINGTON, DE 19801
Pharmacy Comments
Contract Details
Approval Date
10/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/12/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
John P. Gardner, Executive Director
(302) 652-6776 Ext: 206
Contract Pharmacy Representative
Greenhill Pharmacy
Jay Patel, Founder & Owner
(570) 677-5509
Signed By Date
10/12/2017
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