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BI-LO PHARMACY #5446
CH0421000 REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER (ROCHC)
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Covered Entity Details
Entity Name
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER (ROCHC)
Subdivision Name
ReGenesis Health Care - Spartanburg
Type
HRSA-Funded Health Center
340B ID
CH0421000
Entity Address
750 S Church St
Spartanburg, SC 29306-5348
Grant Number
H80CS00298
Participating Start Date
4/1/2005
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
BI-LO PHARMACY #5446
Pharmacy Address
12189 GREENVILLE HWY
LYMAN, SC 29365
Pharmacy Comments
Contract Details
Approval Date
4/10/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Matthew Delfino, Chief Medical Officer
(864) 529-2855
Contract Pharmacy Representative
Southeastern Grociers
David Chism, Seinior Director
(904) 370-6455 Ext: 9043706455
Signed By Date
4/10/2019
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