340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MANIFEST PHARMACY, LLC
CH048130 VALLEY HEALTHCARE SYSTEM, INC.
Print
Covered Entity Details
Entity Name
VALLEY HEALTHCARE SYSTEM, INC.
Subdivision Name
Fort Benning Road Health Center
Type
HRSA-Funded Health Center
340B ID
CH048130
Entity Address
1600 Fort Benning Road
Columbus, GA 31903-2837
Grant Number
H80CS00678
Participating Start Date
7/1/2006
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
MANIFEST PHARMACY, LLC
Pharmacy Address
1018 S BATESVILLE RD
STE 4A
GREER, SC 29650-5203
Pharmacy Comments
Contract Details
Approval Date
4/12/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/21/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SARAH E. LANG, CEO
(706) 322-9599 Ext: 1011
Contract Pharmacy Representative
Benjamin Walvoord, President
(864) 990-2880
Signed By Date
4/12/2013
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