Contract Pharmacy Details

CARE PHARMACY, LLC
CH04843G ST JAMES HEALTH AND WELLNESS INC

Covered Entity Details

Entity Name

ST JAMES HEALTH AND WELLNESS INC

Subdivision Name

Georgtown Health Services Center

Type

HRSA-Funded Health Center

340B ID

CH04843G

Entity Address

422 N Fraser St
Georgetown, SC 29440-3260

Grant Number

H80CS00828

Participating Start Date

7/1/2007

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

CARE PHARMACY, LLC

Pharmacy Address

718 N FRASER ST
GEORGETOWN, SC 29440-3353

Pharmacy Comments

Contract Details

Approval Date

6/18/2008

Contract Begin Date

6/18/2008

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/12/2023
Ownership change

Contacts

Covered Entity Signing Official

Sandra D Gilliard, CEO
(843) 990-7993 Ext: 101

Contract Pharmacy Representative

RAYMOND C. PASCHAL, PHARMACIST
(843) 545-9292

Signed By Date

6/4/2008