340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ST MARY'S COMMUNITY PHARMACY
RRC490059-00 ST. MARYS HOSPITAL
Print
Covered Entity Details
Entity Name
ST. MARYS HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC490059-00
Entity Address
5801 BREMO ROAD
RICHMOND, VA 23226
Medicare Provider Number
490059
Participating Start Date
10/1/2021
Last Recertification Date
8/30/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
ST MARY'S COMMUNITY PHARMACY
Pharmacy Address
5801 BREMO RD
RICHMOND, VA 23226-1907
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jonathan Lee Haynes, Hampton Roads Market CFO
(540) 270-2809
Contract Pharmacy Representative
Harness Health Pharmacy
Brent Kovalyak, System Director of Pharmacy Operations
(513) 305-6835
Signed By Date
10/13/2021
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