Contract Pharmacy Details

LONGS DRUGS - GARNERS FERRY
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

LONGS DRUGS - GARNERS FERRY

Pharmacy Address

9019 GARNERS FERRY ROAD
HOPKINS, SC 29061

Pharmacy Comments

Contract Details

Approval Date

7/8/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/31/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

Carl Humphries, CEO
(843) 667-9414 Ext: 1500

Contract Pharmacy Representative

Christi Epps, CEO
(803) 227-6890

Signed By Date

7/8/2016