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AMELIA PHARMACY
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
AMELIA PHARMACY
Pharmacy Address
15412 PATRICK HENRY HWY
AMELIA COURT HOUSE, VA 23002
Pharmacy Comments
12/3/2010 - CONTRACT PHARMACY INFO MODIFIED TO CORRECT TYPOS.
Contract Details
Approval Date
4/5/2011
Contract Begin Date
4/5/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/18/2011
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