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RRC420065-00 BON SECOURS ST. FRANCIS XAVIER HOSPI (Approved)
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Main Details
Name
BON SECOURS ST. FRANCIS XAVIER HOSPI
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC420065-00
Medicare Provider Number
420065
Additional Details
Current Program Status
Approved
Registration Date
4/15/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/25/2025
Last Recertification Date
Contacts
Authorizing Official
Roper St Francis Healthcare
Rebecca Ann Tucker, SVP, Chief Financial Officer
(843) 727-3403
Primary Contact
Bon Secours Saint Francis Hospital
Louis Glavinos, 340B Pharmacy Manager and Oncology Outpatient Pharmacy Infusion Manager
(843) 402-1675
Addresses
Street Address
2095 HENRY TECKLENBURG DRIVE
CHARLESTON, SC 29414
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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