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CORAM ALTERNATE SITE SERVICES, INC.
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
CORAM ALTERNATE SITE SERVICES, INC.
Pharmacy Address
DBA CORAM CVS/SPECIALTY INFUSION SERVICE
5955 CORE ROAD
SUITE 512
NORTH CHARLESTON, SC 29406-6085
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/24/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Justin Matthew Benfield, Chief Operations Executive
(864) 933-9150
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
4/14/2023
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