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DONNA'S PHARMACY LLC
CH041180 FAMILY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH041180
Entity Address
3310 MAGNOLIA ST
ORANGEBURG, SC 29115
Grant Number
H80CS00090
Participating Start Date
12/1/1992
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
DONNA'S PHARMACY LLC
Pharmacy Address
DBA EHRHARDT PHARMACY
12930 BROXTON BRIDGE ROAD
PO BOX 309
EHRHARDT, SC 29081
Pharmacy Comments
Contract Details
Approval Date
4/21/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leon A. Brunson Sr., CEO
(803) 531-6905
Contract Pharmacy Representative
Ehrhardt Pharmacy
Donna Avant, Owner
(803) 267-2121
Signed By Date
4/21/2023
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