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WAL-MART CENTRAL FILL 10-2670
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
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leon A. Brunson Sr., CEO
(803) 531-6905
Contract Pharmacy Representative
Family Health Centers, Inc.
Tamara Richardson, Director of Pharmacy
(803) 531-6824
Signed By Date
10/14/2019
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