340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GEORGIA CVS PHARMACY, L.L.C.
CH041190 BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INCORPORATED
Print
Covered Entity Details
Entity Name
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INCORPORATED
Subdivision Name
RUTH P. FIELD MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH041190
Entity Address
719 N Okatie Hwy
Ridgeland, SC 29936-8276
Grant Number
H80CS00699
Participating Start Date
12/1/1992
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07758
410 S. COLUMBIA AVE.
RINCON, GA 31326
Pharmacy Comments
Contract Details
Approval Date
10/7/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Roland J Gardner, CEO
(843) 987-7448 Ext: 7448
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/7/2019
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