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FLEXCARE PHARMACY LLC
HV01713 MetroHealth
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Covered Entity Details
Entity Name
MetroHealth
Subdivision Name
Type
Ryan White Part C
340B ID
HV01713
Entity Address
1012 14TH STREET, NW
SUITE 700
WASHINGTON, DC 20005
Grant Number
H89HA00012
Participating Start Date
7/1/2009
Last Recertification Date
1/29/2019
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
FLEXCARE PHARMACY LLC
Pharmacy Address
FLEXCARE PHARMACY
3861 ALABAMA AVE SE
WASHINGTON, DC 20020-2002
Pharmacy Comments
Contract Details
Approval Date
1/8/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
LLOYD H. BUCKNER, EXECUTIVE DIRECTOR
(202) 638-0750
Contract Pharmacy Representative
FlexCare
Vivian Ayuk, Pharmacy Manager
(202) 575-0578
Signed By Date
1/8/2018
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