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SOUTH CAROLINA CVS PHARMACY, L.L.C.
CHC24157-03 Foothills Community Health Care, Inc.
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Covered Entity Details
Entity Name
Foothills Community Health Care, Inc.
Subdivision Name
Foothills Community Health Care - Anderson - Westside
Type
HRSA-Funded Health Center
340B ID
CHC24157-03
Entity Address
1100 W Franklin St
Anderson, SC 29624
Grant Number
H80CS24157
Participating Start Date
4/1/2020
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04026
1300 TIGER BLVD.
CLEMSON, SC 29631
Pharmacy Comments
Contract Details
Approval Date
7/10/2020
Contract Begin Date
9/18/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark J Rajkowski, CEO
(864) 722-0283 Ext: 205
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/10/2020
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