Contract Pharmacy Details

THE PHARMACY
CHC08240-00 HopeHealth, Inc.

Covered Entity Details

Entity Name

HopeHealth, Inc.

Subdivision Name

HopeHealth Irby Street

Type

HRSA-Funded Health Center

340B ID

CHC08240-00

Entity Address

360 N Irby ST
Florence, SC 29501

Grant Number

H80CS08240

Participating Start Date

4/1/2013

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

THE PHARMACY

Pharmacy Address

2500 HOFFMEYER RD
FLORENCE, SC 29501-7407

Pharmacy Comments

Contract Details

Approval Date

10/14/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/1/2021
Agreement registered in error

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

The Pharmacy
Jarrod Tippins, Owner
(843) 496-8041

Signed By Date

10/14/2020