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WALMART PHARMACY 10-3724
CH0416080 LOW COUNTRY HEALTH CARE SYSTEM INC
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Covered Entity Details
Entity Name
LOW COUNTRY HEALTH CARE SYSTEM INC
Subdivision Name
LOW COUNTRY HEALTH CARE SYSTEM
Type
HRSA-Funded Health Center
340B ID
CH0416080
Entity Address
333 REVOLUTIONARY TRAIL
Fairfax, SC 29827-7109
Grant Number
H80CS00092
Participating Start Date
7/1/2000
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3724
Pharmacy Address
332 STONE WALL JACKSON BLVD
ORANGEBURG, SC 29115
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ASHLEY L. BARNES, CEO
(803) 632-2533 Ext: 1125
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/9/2024
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