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SELF REGIONAL HEALTHCARE OUT-PATIENT PHA
CAH421304-00 Edgefield County Healthcare
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Covered Entity Details
Entity Name
Edgefield County Healthcare
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH421304-00
Entity Address
300 Ridge Medical Plaza
Edgefield, SC 29824
Medicare Provider Number
421304
Participating Start Date
7/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SELF REGIONAL HEALTHCARE OUT-PATIENT PHA
Pharmacy Address
1325 SPRING ST
GREENWOOD, SC 29646-3860
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carlos Alberto Milanes, CEO
(864) 725-1585
Contract Pharmacy Representative
Self Regional Healthcare
Jennifer G Elrod, Director of Pharmacy Services
(864) 725-5774
Signed By Date
10/13/2023
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