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SOUTH CAROLINA CVS PHARMACY, L.L.C.
CH042600 COMMUNITY MEDICINE FOUNDATION, INC.
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Covered Entity Details
Entity Name
COMMUNITY MEDICINE FOUNDATION, INC.
Subdivision Name
COMMUNITY MEDICINE FOUNDATION, INC.
Type
HRSA-Funded Health Center
340B ID
CH042600
Entity Address
1131 Saluda St
Rock Hill, SC 29730
Grant Number
H80CS00750
Participating Start Date
7/1/2005
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05679
1746 HECKLE BLVD
ROCK HILL, SC 29732
Pharmacy Comments
Contract Details
Approval Date
4/14/2022
Contract Begin Date
4/21/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ERNEST G. BROWN, EXECUTIVE DIRECTOR
(803) 325-7744 Ext: 237
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2022
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