340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1934
CH034180 SOUTHERN DOMINION HEALTH SYSTEMS, INC.
Print
Covered Entity Details
Entity Name
SOUTHERN DOMINION HEALTH SYSTEMS, INC.
Subdivision Name
ADMINISTRATIVE OFFICE
Type
HRSA-Funded Health Center
340B ID
CH034180
Entity Address
1508 K-V ROAD
VICTORIA, VA 23974
Grant Number
H80CS00173
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1934
Pharmacy Address
315 FURR ST
SOUTH HILL, VA 23970
Pharmacy Comments
Contract Details
Approval Date
10/2/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jill Seamans, CFO
(434) 696-2165
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/2/2018
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