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CH042359C Tandem Health SC (Terminated)
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Main Details
Name
Tandem Health SC
Subdivision Name
Tandem Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020999
340B ID
CH042359C
Grant Number
H80CS00868
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/16/2018
Last Recertification Date
2/1/2024
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Tandem Health SC
Annie Brown, CEO
(803) 774-4500 Ext: 545
Primary Contact
Tandem Health SC
Nick Tomlinson, Director of Pharmacy
(803) 774-4631
Addresses
Street Address
1105 North Lafayette Drive, Suite B
Sumter, SC 29150-2984
Billing Address
Tandem Health SC
1105 North Lafayette Drive, Suite B
Sumter, SC 29150
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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