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SOUTH CAROLINA CVS PHARMACY, L.L.C.
FP31329 Thrive Healthcare Center, Inc.
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Covered Entity Details
Entity Name
Thrive Healthcare Center, Inc.
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP31329
Entity Address
505 N Laurel Street
B1
Springfield, GA 31329
Grant Number
FPHPA006481
Participating Start Date
4/28/2022
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05566
10 POPE AVENUE
HILTON HEAD ISLAND, SC 29928
Pharmacy Comments
Contract Details
Approval Date
4/28/2022
Contract Begin Date
4/28/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Stuart Carroll, Chief Financial Officer
(843) 260-7043
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2022
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