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ESI MAIL PHARMACY SERVICE
CH04522A RURAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES INC
Subdivision Name
Clyburn Center for Primary Care
Type
HRSA-Funded Health Center
340B ID
CH04522A
Entity Address
1000 Clyburn Place
Aiken, SC 29801
Grant Number
H80CS00653
Participating Start Date
1/1/2010
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
ESI MAIL PHARMACY SERVICE
Pharmacy Address
DBA EXPRESS SCRIPTS
7909 S HARDY DR STE 106
TEMPE, AZ 85284-1112
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carolyn Emanuel-McClain, CEO
(803) 380-7012
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
4/15/2024
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