340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AMELIA PHARMACY
CH03418O SOUTHERN DOMINION HEALTH SYSTEMS, INC.
Print
Covered Entity Details
Entity Name
SOUTHERN DOMINION HEALTH SYSTEMS, INC.
Subdivision Name
MANNBORO MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH03418O
Entity Address
8631 Namozine Rd
Amelia Court House, VA 23002-3410
Grant Number
H80CS00173
Participating Start Date
4/1/2005
Last Recertification Date
3/3/2015
Entity Termination Date
10/1/2015
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
10/26/2010
Contract Begin Date
10/26/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Contacts
Covered Entity Signing Official
MARY R. TURNER, CEO
(434) 696-2165
Contract Pharmacy Representative
Farmville Family Pharmacy, Inc.
SCOTT GREGG, VP
(804) 379-6986
Signed By Date
10/14/2010
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