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CARESC PHARMACY LLC
CH04843H ST JAMES HEALTH AND WELLNESS INC
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Covered Entity Details
Entity Name
ST JAMES HEALTH AND WELLNESS INC
Subdivision Name
Andrews Healthcare Center
Type
HRSA-Funded Health Center
340B ID
CH04843H
Entity Address
675 N Morgan Ave
Andrews, SC 29510
Grant Number
H80CS00828
Participating Start Date
1/1/2015
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
CARESC PHARMACY LLC
Pharmacy Address
718 N FRASER ST
GEORGETOWN, SC 29440
Pharmacy Comments
Contract Details
Approval Date
6/8/2023
Contract Begin Date
6/8/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandra D Gilliard, CEO
(843) 990-7993 Ext: 101
Contract Pharmacy Representative
CareSC Pharmacy
John Anthony Ellis, Owner
(843) 545-9292
Signed By Date
6/8/2023
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