340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SOUTH CAROLINA CVS PHARMACY, L.L.C.
DSH420091 MUSC Health Florence Medical Center
Print
Covered Entity Details
Entity Name
MUSC Health Florence Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH420091
Entity Address
805 PAMPLICO HIGHWAY
FLORENCE, SC 29505
Medicare Provider Number
420091
Participating Start Date
1/1/2020
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07609
3306 WEST PALMETTO ST.
FLORENCE, SC 29501
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Goodlett, Chief Financial Officer
(843) 792-4775
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2020
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