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WALMART PHARMACY 10-3628
CHC24157-00 Foothills Community Health Care, Inc.
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Covered Entity Details
Entity Name
Foothills Community Health Care, Inc.
Subdivision Name
Foothills Community Health Care- Lakeside Anderson
Type
HRSA-Funded Health Center
340B ID
CHC24157-00
Entity Address
302 Pearman Dairy Road
Ste C1
Anderson, SC 29625
Grant Number
H80CS24157
Participating Start Date
10/1/2014
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3628
Pharmacy Address
115 HWY 14
SIMPSONVILLE, SC 29681
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark J Rajkowski, CEO
(864) 722-0283 Ext: 205
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/12/2018
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