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HALIFAX PHARMACY
SCH490013-00 SENTARA HALIFAX REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
SENTARA HALIFAX REGIONAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH490013-00
Entity Address
2204 WILBORN AVENUE
SOUTH BOSTON, VA 24592
Medicare Provider Number
490013
Participating Start Date
10/1/2023
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
HALIFAX PHARMACY
Pharmacy Address
JOHN W BASS JR
4121 HALIFAX ROAD
SOUTH BOSTON, VA 24592
Pharmacy Comments
Contract Details
Approval Date
12/16/2013
Contract Begin Date
12/16/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
Stewart Nelson, Chief Financial Officer
(434) 517-3183
Contract Pharmacy Representative
David Fitts, Pharmacy Manager
(434) 517-3312
Signed By Date
12/6/2013
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