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SPENCER'S DRUGSTORE, INC.
CH034180 SOUTHERN DOMINION HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
SOUTHERN DOMINION HEALTH SYSTEMS, INC.
Subdivision Name
ADMINISTRATIVE OFFICE
Type
HRSA-Funded Health Center
340B ID
CH034180
Entity Address
1508 K-V ROAD
VICTORIA, VA 23974
Grant Number
H80CS00173
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SPENCER'S DRUGSTORE, INC.
Pharmacy Address
SPENCER'S DRUGSTORE, INC
100 N MAIN ST
BLACKSTONE, VA 23824-1424
Pharmacy Comments
Contract Details
Approval Date
7/13/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
April King, CEO
(434) 696-2165 Ext: 212
Contract Pharmacy Representative
Spencers Drug
Keri Yancey, Owner
(434) 292-3132
Signed By Date
7/13/2024
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