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SHOPRITE OF CHRISTINA LANDING CENTER, LL
CH031260 SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
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Covered Entity Details
Entity Name
SOUTHBRIDGE MEDICAL ADVISORY COUNCIL, INC.
Subdivision Name
DBA HENRIETTA JOHNSON MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH031260
Entity Address
601 NEW CASTLE AVENUE
WILMINGTON, DE 19801
Grant Number
H80CS00385
Participating Start Date
10/13/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SHOPRITE OF CHRISTINA LANDING CENTER, LL
Pharmacy Address
SHOPRITE PHARMACY #589
501 S. WALNUT ST
WILMINGTON, DE 19801-5286
Pharmacy Comments
Contract Details
Approval Date
10/2/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/26/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
ROSA RIVERA-PRADO, CEO
(302) 427-9696
Contract Pharmacy Representative
John Flaherty, Pharmacy Supervisor
(302) 983-9397
Signed By Date
10/2/2014
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