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SOUTH CAROLINA CVS PHARMACY, L.L.C.
SCH420038-00 Prisma Health Laurens County Hospital
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Covered Entity Details
Entity Name
Prisma Health Laurens County Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH420038-00
Entity Address
22725 HIGHWAY 76 EAST
CLINTON, SC 29325
Medicare Provider Number
420038
Participating Start Date
10/1/2015
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05542
203 N. MAIN ST.
FOUNTAIN INN, SC 29644
Pharmacy Comments
Contract Details
Approval Date
1/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Justin Matthew Benfield, Chief Operations Executive
(864) 933-9150
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/18/2022
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