340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH047060 LITTLE RIVER MEDICAL CENTER, INC. (Active)
Print
Main Details
Name
LITTLE RIVER MEDICAL CENTER, INC.
Subdivision Name
LITTLE RIVER MEDICAL CENTER, INC.: MAIN SITE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005180
340B ID
CH047060
Grant Number
H80CS00700
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
6/3/2010
Last Recertification Date
2/16/2025
Contacts
Authorizing Official
Little River Medical Center
PAMELA R. DAVIS, CEO
(843) 663-8001
Primary Contact
Little River Medical Center
Kristopher Chiplinski, Director of Pharmacy
(843) 663-8031
Addresses
Street Address
4303 Live Oak Dr.
Little River, SC 29566
Billing Address
Little River Medical Center
P.O. Box 547
Little River, SC 29566
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
6/3/10 CORRECTED STATE FOR SECOND MEDICAID # 6/13/11 ADDED SHIPPING ADDRESS, ADDRESS ALREADY IN SYSTEM.
06/13/2011
6/3/10 CORRECTED STATE FOR SECOND MEDICAID # 6/13/11 ADDED SHIPPING ADDRESS, ADDRESS ALREADY IN SYSTEM.
06/13/2011
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session