340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ADVANCED PHARMACY, LLC
CH047060 LITTLE RIVER MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
LITTLE RIVER MEDICAL CENTER, INC.
Subdivision Name
LITTLE RIVER MEDICAL CENTER, INC.: MAIN SITE
Type
HRSA-Funded Health Center
340B ID
CH047060
Entity Address
4303 Live Oak Dr.
Little River, SC 29566
Grant Number
H80CS00700
Participating Start Date
12/1/1992
Last Recertification Date
2/16/2025
Pharmacy Details
Pharmacy Name
ADVANCED PHARMACY, LLC
Pharmacy Address
ADVANCED PHARMACY
350 FEASTER ROAD
SUITE D
GREENVILLE, SC 29615-6176
Pharmacy Comments
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/27/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
PAMELA R. DAVIS, CEO
(843) 663-8001
Contract Pharmacy Representative
Gregory P. Santulli, President
(770) 339-1190 Ext: 7063
Signed By Date
10/14/2015
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