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CH04700A HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC. (Active)
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Main Details
Name
HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC.
Subdivision Name
Health Care Partners of South Carolina, Inc. - Conway Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003461
340B ID
CH04700A
Grant Number
H80CS00411
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
8/5/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Health Care Partners of SC
Santina Mayo, Chief Executive Officer
(843) 488-6034
Primary Contact
Health Care Partners of South Carolina, Inc. - Conway Office Pharmacy
Joseph Hamilton Odom, Director of Pharmacy
(843) 438-8399
Addresses
Street Address
1608 Main St
Conway, SC 29526-3572
Billing Address
Health Care Partners of South Carolina, Inc. - Conway Administrative Office
1708 Oak Street
Conway, SC 29526-3572
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORR. ENTITY NAME, CONTACT & INFO, CHANGED MEDICAID #, 3/19/05 CORRECTED MEDICAID #
08/05/2005
April 2025
April 2025
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