340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SHELBY PHARMACY LLC
CHC24157-01 Foothills Community Health Care, Inc.
Print
Covered Entity Details
Entity Name
Foothills Community Health Care, Inc.
Subdivision Name
Foothills Community Health Care-Easley
Type
HRSA-Funded Health Center
340B ID
CHC24157-01
Entity Address
403 Hillcrest Drive
Easley, SC 29640-1207
Grant Number
H80CS24157
Participating Start Date
4/1/2018
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
SHELBY PHARMACY LLC
Pharmacy Address
DBA EASLEY HEALTHMART PHARMACY
401 HILLCREST DR
EASLEY, SC 29640
Pharmacy Comments
Contract Details
Approval Date
10/4/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2020
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
Shelby Pharmacy LLC
Jerry Shelby, Owner
(256) 503-5535
Signed By Date
10/4/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session