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SOUTH CAROLINA CVS PHARMACY, L.L.C.
CH03099A1 Monroe County Health Center
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Covered Entity Details
Entity Name
Monroe County Health Center
Subdivision Name
CRAIG COUNTY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH03099A1
Entity Address
226 Market St
New Castle, VA 24127
Grant Number
H80CS00384
Participating Start Date
1/1/2008
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01540
3411 SOCASTEE BLVD.
MYRTLE BEACH, SC 29588
Pharmacy Comments
Contract Details
Approval Date
1/8/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jim Nelson, CEO
(304) 772-3064 Ext: 129
Contract Pharmacy Representative
CVS
Christian Reed, Sr. Director
(401) 770-2118
Signed By Date
1/8/2021
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