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WAL-MART PHARMACY 10-0629
CH0421000 REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER (ROCHC)
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Covered Entity Details
Entity Name
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER (ROCHC)
Subdivision Name
ReGenesis Health Care - Spartanburg
Type
HRSA-Funded Health Center
340B ID
CH0421000
Entity Address
750 S Church St
Spartanburg, SC 29306-5348
Grant Number
H80CS00298
Participating Start Date
4/1/2005
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0629
Pharmacy Address
513 N DUNCAN BYPASS
UNION, SC 29379
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Delfino, Chief Medical Officer
(864) 529-2855
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/15/2020
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