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PEMBERTON PHARMACY & GIFT
CH03301C THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
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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
PEMBERTON PHARMACY & GIFT
Pharmacy Address
1147 PEMBERTON DR
SALISBURY, MD 21801-2180
Pharmacy Comments
Contract Details
Approval Date
10/3/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
brian edward holland, ceo
(410) 749-1015 Ext: 1621
Contract Pharmacy Representative
Aventi Health
Jon Zolkoske, TPA
(414) 792-9673 Ext: 701
Signed By Date
10/3/2022
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