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VICTORIA DRUG CO LLC
CH034180 SOUTHERN DOMINION HEALTH SYSTEMS, INC.
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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
VICTORIA DRUG CO LLC
Pharmacy Address
1821 MAIN ST
P.O. BOX 1431
VICTORIA, VA 23974-9204
Pharmacy Comments
Contract Details
Approval Date
4/1/2011
Contract Begin Date
4/1/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/16/2011
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