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ST MATTHEWS PHARMACY
CH041180 FAMILY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH041180
Entity Address
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Grant Number
H80CS00090
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
ST MATTHEWS PHARMACY
Pharmacy Address
708 N F R HUFF DR
ST. MATTHEWS, SC 29135
Pharmacy Comments
Contract Details
Approval Date
7/3/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/25/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Leon A. Brunson Sr., CEO
(803) 531-6905
Contract Pharmacy Representative
Mikell Quick, Pharmacist
(803) 655-7800
Signed By Date
7/3/2013
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