Contract Pharmacy Details

DELMARVA PHARMACY
CH03301C THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Covered Entity Details

Entity Name

THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Subdivision Name

TLC SALISBURY

Type

HRSA-Funded Health Center

340B ID

CH03301C

Entity Address

1104 HEALTHWAY DR
SALISBURY, MD 21804-4469

Grant Number

H80CS00774

Participating Start Date

4/1/2005

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

DELMARVA PHARMACY

Pharmacy Address

1615 TREE SAP COURT
SALISBURY, MD 21804

Pharmacy Comments

3/17/11 UPDATED ADDR (WAS 1324 BELMONT AVENUE, SUITE 101)

Contract Details

Approval Date

6/7/2006

Contract Begin Date

6/7/2006

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

6/7/2006

340B Drug Pricing Program Database