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SYNERGY RX EXPRESS PHARMACY
CH031260 SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
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Covered Entity Details
Entity Name
SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
Subdivision Name
DBA HENRIETTA JOHNSON MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH031260
Entity Address
601 NEW CASTLE AVENUE
WILMINGTON, DE 19801
Grant Number
H80CS00385
Participating Start Date
10/13/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SYNERGY RX EXPRESS PHARMACY
Pharmacy Address
18 PENN MART SHOPPING CENTER
NEW CASTLE, DE 19720-4207
Pharmacy Comments
Contract Details
Approval Date
7/3/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/5/2021
Ownership change
Contacts
Covered Entity Signing Official
Shay Scott, CEO
(302) 655-6187 Ext: 230
Contract Pharmacy Representative
SYNERGY RX EXPRESS PHARMACY
Emmanuel Nyarko, Director of Pharmacy
(302) 323-1687
Signed By Date
7/3/2019
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