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CH04523N CARESOUTH CAROLINA,INC (Active)
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Main Details
Name
CARESOUTH CAROLINA,INC
Subdivision Name
CSC Bennettsville Pediatric Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004940
340B ID
CH04523N
Grant Number
H80CS00654
Additional Details
Current Program Status
Active
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/13/2013
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
CareSouth Carolina, Inc.
Ann Lewis, CEO
(843) 857-0111
Primary Contact
CareSouth Carolina, Inc.
Audrey S Bell, 340B Program Coordinator
(843) 339-5530
Addresses
Street Address
210 W Main St.
Bennettsville, SC 29512
Billing Address
CareSouth Carolina
PO BOX 1090
Hartsville, SC 29551
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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