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WALMART PHARMACY 10-3724
DSH420068B THE REGIONAL MEDICAL CENTER (TRMC)
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Covered Entity Details
Entity Name
THE REGIONAL MEDICAL CENTER (TRMC)
Subdivision Name
Express Health Care (Santee)
Type
Disproportionate Share Hospital
340B ID
DSH420068B
Entity Address
111 John Lawson Ave
Santee, SC 29142
Medicare Provider Number
420068
Outpatient Facility Provider Number
Participating Start Date
10/1/2012
Last Recertification Date
9/11/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3724
Pharmacy Address
332 STONE WALL JACKSON BLVD
ORANGEBURG, SC 29115
Pharmacy Comments
Contract Details
Approval Date
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Rick George Langosch, Interim CFO
(803) 395-4485
Contract Pharmacy Representative
Walmart
George Flaherty, Senior Director Payer Programs
(479) 204-9374
Signed By Date
4/13/2021
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