340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RAINBOW DRUG STORE
SCH110025-00 SOUTHEAST GEORGIA REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
SOUTHEAST GEORGIA REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH110025-00
Entity Address
2415 PARKWOOD DRIVE
BRUNSWICK, GA 31520
Medicare Provider Number
110025
Participating Start Date
1/1/2016
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
RAINBOW DRUG STORE
Pharmacy Address
4319 NEW JESUP HWY
BRUNSWICK, GA 31520-1605
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/13/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
MICHAEL SCHERNECK, CEO
(912) 466-7049
Contract Pharmacy Representative
Rainbow PSA
Richard Griffis, Chief Operating Officer
(912) 265-1793
Signed By Date
10/15/2019
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