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WAL-MART PHARMACY 10-0511
CH045050 SANDHILLS MEDICAL FOUNDATION, INC.
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Covered Entity Details
Entity Name
SANDHILLS MEDICAL FOUNDATION, INC.
Subdivision Name
SANDHILLS MEDICAL FOUNDATION Inc. - Jefferson Site
Type
HRSA-Funded Health Center
340B ID
CH045050
Entity Address
409 E Church St
Jefferson, SC 29718-8701
Grant Number
H80CS00501
Participating Start Date
10/1/2001
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0511
Pharmacy Address
1283 BROAD STREET
SUMTER, SC 29150
Pharmacy Comments
Contract Details
Approval Date
4/12/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WARREN HIX, CEO
(843) 335-6758
Contract Pharmacy Representative
Kathi Phelps, Manager Contracting & Channell Management
(479) 899-8830
Signed By Date
4/12/2013
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