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GRUBB'S PHARMACY SE, INC.
RWI20020 Family and Medical Counseling Service, Inc.
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Covered Entity Details
Entity Name
Family and Medical Counseling Service, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI20020
Entity Address
2041 Martin Luther King, Jr. Avenue, SE
Suite 303
Washington, DC 20020
Grant Number
H89HA00012
Participating Start Date
1/1/2013
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
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
Grubb's
michael kim, president
(202) 387-2435
Signed By Date
4/16/2018
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