Covered Entity Details

CH03301Q Three Lower Counties Community Services, Inc. (Active) - information as of 6/25/2025 12:49:58 AM

Main Details

Name

Three Lower Counties Community Services, Inc.

Subdivision Name

Eastern Shore OB/GYN a Division of Chesapeake Health Care

Type

HRSA-Funded Health Center

Site ID

BPS-H80-019242

340B ID

CH03301Q

Grant Number

H80CS00774

Additional Details

Current Program Status

Active

Registration Date

6/12/2017

Participating Start Date

7/1/2017

Participating Approval Date

6/13/2017

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Three Lower Counties Community Services, Inc
brian edward holland, ceo
(410) 749-1015 Ext: 1621

Primary Contact

Chesapeake Health Care
Joshua Lee Boston, Chief Development Officer
(410) 749-1015 Ext: 1607

Addresses

Street Address

1647 Woodbrooke Drive
Salisbury, MD 21804

Billing Address

Three Lower Counties Community Services, Inc.
P.O. Box 1978
Salisbury, MD 21802-1978

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH033010	Active	BPS-H80-014448	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.		32033 BEAVER RUN DR	SALISBURY	MD
CH03301AA	Active	BPS-H80-037176	THREE LOWER COUNTIES COMMUNITY SERVICES, INC	CHC - WiHi	201 Long Ave	Salisbury	MD
CH03301AB	Active	BPS-H80-038827	THREE LOWER COUNTIES COMMUNITY SERVICES, INC	Berlin BH &CC	10344 Old Ocean City Blvd, Ste 2	Berlin	MD
CH03301AC	Approved	BPS-H80-039541	THREE LOWER COUNTIES COMMUNITY SERVICES, INC	CHC - South Division	1340 S Division St, Ste 301	Salisbury	MD
CH03301B	Active	BPS-H80-007616	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	TLC @ Riverside	560 Riverside Drive, Suite A204	Salisbury	MD
CH03301C	Active	BPS-H80-003504	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	TLC SALISBURY	1104 HEALTHWAY DR	SALISBURY	MD
CH03301D	Terminated	BPS-H80-006355	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	WESTOVER CAMP	30577 CAMP ROAD	WESTOVER	MD
CH03301E	Active	BPS-H80-001083	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	Chesapeake Health Care Pediatrics	223 Phillip Morris Dr	Salisbury	MD
CH03301H	Active	BPS-H80-001211	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	THREE LOWER COUNTIES COMMUNITY SVCS INC	12145 Elm St	Princess Anne	MD
CH03301I	Active	BPS-H80-005561	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	THREE LOWER COUNTIES COMMUNITY SVCS INC	305 10th St	Pocomoke City	MD
CH03301K	Active	BPS-H80-008706	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	TLC - Princess Anne Dental	12165 Elm St	Princess Anne	MD
CH03301L	Active	BPS-H80-009292	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	Chesapeake Health Care - Sweetbay	1813 Sweetbay Dr	Salisbury	MD
CH03301M	Active	BPS-H80-009321	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	TLC Internal Medicine @ Woodbrooke	1665 Woodbrooke Dr	Salisbury	MD
CH03301N	Terminated	BPS-H80-012169	THREE LOWER COUNTIES COMMUNITY SERVICES, INC.	TLC - SBHC @ Washington High School	10902 Old Princess Anne Rd	Princess Anne	MD
CH03301P	Terminated	BPS-H80-019360	Three Lower Counties Community Services, Inc.	TLC - Berlin	9956 North Main Street Suite #2	Berlin	MD
CH03301Q	Active	BPS-H80-019242	Three Lower Counties Community Services, Inc.	Eastern Shore OB/GYN a Division of Chesapeake Health Care	1647 Woodbrooke Drive	Salisbury	MD
CH03301R	Active	BPS-H80-021352	Three Lower Counties Community Services, Inc.	CHC - Salisbury Dental	1615 Tree Sap Court Suite A	Salisbury	MD
CH03301S	Active	BPS-H80-033529	Three Lower Counties Community Services, Inc.	CHC - SBHC @ Washington High School	10902 Old Princess Anne Rd	Princess Anne	MD
CH03301T	Active	BPS-H80-034110	Three Lower Counties Community Services, Inc.	CHC - Berlin 9958	9958 N Main St	Berlin	MD
CH03301U	Active	BPS-H80-035402	Three Lower Counties Community Services, Inc.	CHC - SBHC - BRES	31481 Old Ocean City Rd	Salisbury	MD
CH03301V	Active	BPS-H80-035891	Three Lower Counties Community Services, Inc.	CHC - Power Street	100 Power St	Salisbury	MD
CH03301W	Active	BPS-H80-035544	Three Lower Counties Community Services, Inc.	CHC - SBHC - POC	1817 Old Virginia Rd	Pocomoke City	MD
CH03301X	Terminated	BPS-H80-036778	Three Lower Counties Community Services, Inc.	CHC - Berlin BH	9714 Healthway Dr	Berlin	MD
CH03301Y	Active	BPS-H80-037612	THREE LOWER COUNTIES COMMUNITY SERVICES, INC	CHC - Winterplace	31413 Winterplace Pkwy	Salisbury	MD
CH03301Z	Active	BPS-H80-037175	THREE LOWER COUNTIES COMMUNITY SERVICES, INC	CHC - Wi Middle	635 E Main St	Salisbury	MD

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH03301H	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	01/01/2018
CH03301H	APPLE DISCOUNT DRUGS #2	1210 NANTICOKE RD	UNIT 11	SALISBURY	MD	21801	01/14/2022
CH03301H	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2018	04/02/2019
CH03301H	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2018	04/02/2019
CH03301H	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2018	04/02/2019
CH03301H	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2018	04/02/2019
CH03301H	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2018	04/02/2019
CH03301H	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2018	04/02/2019
CH03301H	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2018	04/02/2019
CH03301H	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2018	04/02/2019
CH03301H	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2018	04/02/2019
CH03301C	DELMARVA PHARMACY	1615 TREE SAP COURT		SALISBURY	MD	21804	06/07/2006
CH03301H	DELMARVA PHARMACY #2	THREE LOWER COUNTIES COMMUNITY SERVICES,	12137 ELM ST	PRINCESS ANNE	MD	21853	10/01/2014	04/01/2022
CH03301H	ECKERD CORPORATION	RITE AID #11218	833 SOUTH SALISBURY BLVD.	SALISBURY	MD	21801	01/01/2015
CH03301H	GIANT OF SALISBURY, INC.	ACME PHARMACY #896	751 S. SALISBURY BLVD	SALISBURY	MD	21801	07/01/2019
CH03301H	HAPPY HARRY'S INC.	DBA: WALGREENS # 11016	30182 SUSSEX HWY UNIT 1	LAUREL	DE	19956	07/01/2014
CH03301H	HAPPY HARRY'S INC.	DBA: WALGREENS # 11079	38627 BENRO DRIVE STE 1	DELMAR	DE	19940	07/01/2014
CH03301H	HAPPY HARRY'S INC.	DBA: WALGREENS #11043	11307 MANKLIN CREEK ROAD	BERLIN	MD	21811	04/01/2015
CH03301H	HAPPY HARRY'S INC.	DBA: WALGREENS # 11026	28516 DUPONT BLVD	MILLSBORO	DE	19966-4739	04/01/2015
CH03301C	KAREMORE PHARMACY	12085 SOMERSET AVE UNIT 5		PRINCESS ANNE	MD	21853	01/01/2023
CH03301C	KAREMORE PHARMACY #02	817 SNOW HILL RD	UNIT 2	SALISBURY	MD	21804	07/01/2025
CH03301H	MARYLAND CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 8281	1016 S. SALISBURY BLVD	SALISBURY	MD	21801	04/01/2018	04/02/2019
CH03301H	MILFORD STREET PHARMACY, LLC	106 MILFORD ST		SALISBURY	MD	21804-6953	01/14/2022
CH03301C	PEMBERTON PHARMACY & GIFT	1147 PEMBERTON DR		SALISBURY	MD	21801-2180	01/01/2023
CH03301H	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2018	04/02/2019
CH03301H	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2018	04/02/2019
CH03301H	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2018	04/02/2019
CH03301H	RITE AID OF DELAWARE, INC.	RITE AID #4910	38169 DUPONT BOULEVARD	SELBYVILLE	DE	19975	10/01/2023
CH03301H	RITE AID OF MARYLAND, INC.	RITE AID #3837	505 LINDEN AVENUE	POCOMOKE CITY	MD	21851	01/01/2015
CH03301H	RITE AID OF MARYLAND, INC.	RITE AID #4909	12154 BRITTINGHAM LANE	PRINCESS ANNE	MD	21853	01/01/2015
CH03301H	RITE AID OF MARYLAND, INC.	RITE AID #4915	1301 EAST STATE STREET	DELMAR	MD	21875	01/01/2015
CH03301H	RITE AID OF MARYLAND, INC.	RITE AID #4920	1208 PARSONS ROAD	SALISBURY	MD	21801	01/01/2015
CH03301H	RITE AID OF MARYLAND, INC.	RITE AID #319	10119 OLD OCEAN CITY BLVD.	BERLIN	MD	21811	10/01/2023
CH03301H	RITE AID OF MARYLAND, INC.	RITE AID #4917	11011 MANKLIN CREEK ROAD	BERLIN	MD	21811	10/01/2023
CH03301H	RIVERSIDE PHARMACY, LLC	540 RIVERSIDE DR		SALISBURY	MD	21801-5352	01/14/2022
CH03301H	SNOW HILL PHARMACY	5610 E MARKET ST UNIT 2		SNOW HILL	MD	21863	01/14/2022
CH03301H	THRIFT DRUG, INC.	RITE AID #11219	1316 MOUNT HERMON ROAD.	SALISBURY	MD	21804	01/01/2015
CH03301H	W-S ASSOCIATES INC	T/A APPLE DISCOUNT DRUGS	404A N. FRUITLAND BLVD.	SALISBURY	MD	21801	01/14/2022
CH033010	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH03301H	WAL-MART PHARMACY 10-1890	2702 N SALISBURY BLVD		SALISBURY	MD	21801	04/01/2014
CH03301H	WAL-MART PHARMACY 10-2514	2132 OLD SNOW HILL ROAD		POCOMOKE CITY	MD	21851	04/01/2014
CH033010	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH03301H	WALGREEN CO	DBA: WALGREENS #09927	735 S SALISBURY BLVD	SALISBURY	MD	21801	07/01/2014
CH03301H	WALGREEN CO.	DBA: WALGREENS #12130	909 MT. HERMON RD.	SALISBURY	MD	21804	07/01/2014	04/30/2025
CH03301H	WALGREEN CO.	DBA: WALGREENS #11951	11085 CATHELL RD STE 100	BERLIN	MD	21811	01/01/2016
CH03301H	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2014	07/10/2015
CH03301H	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/01/2015	07/10/2015
CH03301H	WALMART PHARMACY 10-2931	409 N FRUITLAND BLVD		FRUITLAND	MD	21801	04/01/2014

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 8:04:32 AM	2/10/2025 8:02:28 AM	2/10/2025 8:02 AM
Details	Last Recertification Date	Update	Recertification	1/30/2023 9:19:53 AM	1/29/2024 8:04:32 AM	1/29/2024 8:04 AM
Details	Last Recertification Date	Update	Recertification	2/1/2022 7:59:12 AM	1/30/2023 9:19:53 AM	1/30/2023 9:19 AM
Details	Last Recertification Date	Update	Recertification	2/1/2021 8:11:47 AM	2/1/2022 7:59:12 AM	2/1/2022 7:59 AM
Details	Last Recertification Date	Update	Recertification	1/27/2020 11:12:57 AM	2/1/2021 8:11:47 AM	2/1/2021 8:11 AM
Details	Last Recertification Date	Update	Recertification	1/30/2019 9:19:12 AM	1/27/2020 11:12:57 AM	1/27/2020 11:12 AM
Addresses	Billing Address	Insert	Recertification		Three Lower Counties Community Services, Inc. P.O. Box 1978 Salisbury, MD 21802-1978	1/30/2019 9:19 AM
Details	Last Recertification Date	Update	Recertification	2/20/2018 9:09:04 AM	1/30/2019 9:19:12 AM	1/30/2019 9:19 AM
Contacts	Primary Contact	Update		Boston, Joshua Chief Development Officer Chesapeake Health Care 4107491015-1607	Boston, Joshua Lee Chief Development Officer Chesapeake Health Care 4107491015-1607	10/10/2018 7:40 AM
Contacts	Authorizing Official	Update	AO Change Request	gray, susanne CEO Chesapeake Health Care 4107491015-1614	holland, brian edward ceo Three Lower Counties Community Services, Inc 4107491015-1621	9/10/2018 3:09 PM
Contacts	Primary Contact	Update	Recertification	gray, susanne CEO Chesapeake Health Care 4107491015-1614	Boston, Joshua Chief Development Officer Chesapeake Health Care 4107491015-1607	2/20/2018 9:09 AM
Details	Last Recertification Date	Update	Recertification		2/20/2018 9:09:04 AM	2/20/2018 9:09 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/20/2018 9:09 AM
Contacts	Authorizing Official	Update		gray, susanne CEO 4107491015-1614	gray, susanne CEO Chesapeake Health Care 4107491015-1614	2/20/2018 9:02 AM
Contacts	Primary Contact	Update		gray, susanne CEO 4107491015-1614	gray, susanne CEO Chesapeake Health Care 4107491015-1614	2/20/2018 9:02 AM
Contacts	Signed By	Update		gray, susanne CEO 4107491015-1614	gray, susanne CEO Chesapeake Health Care 4107491015-1614	2/20/2018 9:02 AM
Addresses	Main Address	Insert			1647 Woodbrooke Drive Salisbury, MD 21804	6/13/2017 6:09 PM
Contacts	Authorizing Official	Insert			gray, susanne CEO 4107491015-1614	6/13/2017 6:09 PM
Contacts	Primary Contact	Insert			gray, susanne CEO 4107491015-1614	6/13/2017 6:09 PM
Contacts	Signed By	Insert			gray, susanne CEO 4107491015-1614	6/13/2017 6:09 PM
Dates	Participating Approval Date	Update			6/13/2017 12:00:00 AM	6/13/2017 5:20 PM
Details	State	Update		Pending	Active	6/13/2017 5:20 PM
Dates	Start Date	Update			7/1/2017 12:00:00 AM	6/13/2017 5:20 PM
Details	340B ID	Update		ONLINE_REG_77631	CH03301Q	6/12/2017 3:12 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_77631	6/12/2017 2:48 PM
Details	Last Recertification Date	Insert				6/12/2017 2:48 PM
Details	Grant Number	Insert			H80CS00774	6/12/2017 2:48 PM
Details	340B ID	Insert			ONLINE_REG	6/12/2017 2:48 PM
Details	Is Authorizing Official EHB Data	Insert			False	6/12/2017 2:48 PM
Dates	Last Date That 340B Drugs Purchased	Insert				6/12/2017 2:48 PM
Details	Medicare Provider Number	Insert				6/12/2017 2:48 PM
Details	Entity Name	Insert			Three Lower Counties Community Services, Inc.	6/12/2017 2:48 PM
Details	Program Code	Insert			CH	6/12/2017 2:48 PM
Details	Entity Subname	Insert			Eastern Shore OB/GYN a Division of Chesapeake Health Care	6/12/2017 2:48 PM
Dates	Participating Approval Date	Insert				6/12/2017 2:48 PM
Details	State	Insert			Pending	6/12/2017 2:48 PM
Dates	Registration Date	Insert			6/12/2017 12:00:00 AM	6/12/2017 2:48 PM
Dates	Signed By Date	Insert			6/12/2017 12:00:00 AM	6/12/2017 2:48 PM
Dates	Start Date	Insert				6/12/2017 2:48 PM
Terminations	Termination Comments	Insert				6/12/2017 2:48 PM
Terminations	Termination Date	Insert				6/12/2017 2:48 PM
Terminations	Termination Effective Date	Insert				6/12/2017 2:48 PM
Terminations	Termination Reason	Insert				6/12/2017 2:48 PM

340B Drug Pricing Program Database