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SOUTH CAROLINA CVS PHARMACY, L.L.C.
STD29302 Piedmont Care, Inc.
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Covered Entity Details
Entity Name
Piedmont Care, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD29302
Entity Address
101 North Pine St., Suite 200
Spartanburg, SC 29302-1604
Grant Number
NU62PS924641
Participating Start Date
10/1/2020
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03586
2397 REIDVILLE ROAD,
SPARTANBURG, SC 29301
Pharmacy Comments
Contract Details
Approval Date
1/13/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/8/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tracey L. Jackson, Executive Director
(864) 582-7773 Ext: 8642744178
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2022
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