Contract Pharmacy Details

WAL-MART PHARMACY 10-0511
CHC08240-00 HopeHealth, Inc.

Covered Entity Details

Entity Name

HopeHealth, Inc.

Subdivision Name

HopeHealth Irby Street

Type

HRSA-Funded Health Center

340B ID

CHC08240-00

Entity Address

360 N Irby ST
Florence, SC 29501

Grant Number

H80CS08240

Participating Start Date

4/1/2013

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-0511

Pharmacy Address

1283 BROAD STREET
SUMTER, SC 29150

Pharmacy Comments

Contract Details

Approval Date

4/9/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Carl Humphries, CEO
(843) 667-9414 Ext: 1500

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

4/9/2019

340B Drug Pricing Program Database