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CARESC PHARMACY LLC
CH04843K St James Santee Family Health Center Inc
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Covered Entity Details
Entity Name
St James Santee Family Health Center Inc
Subdivision Name
Andrews Elementary School Based Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH04843K
Entity Address
13072 County Line Rd
Andrews, SC 29510-6811
Grant Number
H80CS00828
Participating Start Date
7/1/2020
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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