340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VCU HEALTH SYSTEM PHARMACY
DSH490098 COMMUNITY MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
COMMUNITY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH490098
Entity Address
1755 N MECKLENBURG AVENUE
SOUTH HILL, VA 23970
Medicare Provider Number
490098
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
VCU HEALTH SYSTEM PHARMACY
Pharmacy Address
1250 E MARSHALL ST
MAIN HOSPITAL
RICHMOND, VA 23298-5051
Pharmacy Comments
10/5/10 UPDATED PHARMACY NAME (WAS VA HEALTH SYSTEM PHARMACY);
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Matthew Jenkins, Vice President, Chief Pharmacy Officer
(804) 628-8676
Contract Pharmacy Representative
VCU Health System
Rodney Stiltner, Director of Pharmacy
(804) 828-5468
Signed By Date
7/2/2024
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