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WALMART PHARMACY 10-3724
CHC08240-00 HopeHealth, Inc.
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Covered Entity Details
Entity Name
HopeHealth, Inc.
Subdivision Name
HopeHealth Irby Street
Type
HRSA-Funded Health Center
340B ID
CHC08240-00
Entity Address
360 N Irby ST
Florence, SC 29501
Grant Number
H80CS08240
Participating Start Date
4/1/2013
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3724
Pharmacy Address
332 STONE WALL JACKSON BLVD
ORANGEBURG, SC 29115
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/12/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carl Humphries, CEO
(843) 667-9414 Ext: 1500
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/13/2020
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