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GROVE PARK PHARMACY
DSH420068 THE REGIONAL MEDICAL CENTER (TRMC)
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Covered Entity Details
Entity Name
THE REGIONAL MEDICAL CENTER (TRMC)
Subdivision Name
OF ORANGEBURG & CALHOUN COUNTIES
Type
Disproportionate Share Hospital
340B ID
DSH420068
Entity Address
3000 ST. MATTHEWS ROAD
ORANGEBURG, SC 29118
Medicare Provider Number
420068
Participating Start Date
7/1/2004
Last Recertification Date
9/9/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
GROVE PARK PHARMACY
Pharmacy Address
1324 GROVE PARK DR
ORANGEBURG, SC 29115-2911
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rick George Langosch, Interim CFO
(803) 395-4485
Contract Pharmacy Representative
Grove Park Pharmacy
Charles Thompson, OWNER
(803) 536-0007
Signed By Date
10/15/2020
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