Contract Pharmacy Details

WALGREEN CO.
HV00789 HOPEHEALTH, INC.

Covered Entity Details

Entity Name

HOPEHEALTH, INC.

Subdivision Name

Type

Ryan White Part C

340B ID

HV00789

Entity Address

360 N. Irby Street
FLORENCE, SC 29501

Grant Number

H76HA00789

Participating Start Date

7/1/2003

Last Recertification Date

2/20/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09276
1990 MCCRAYS MILL RD.
SUMTER, SC 29150-6185

Pharmacy Comments

Contract Details

Approval Date

2/2/2012

Contract Begin Date

2/2/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/10/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

DEENA HILTON, COO
(843) 667-9414 Ext: 111

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

2/9/2012

340B Drug Pricing Program Database