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SOUTH CAROLINA CVS PHARMACY, L.L.C.
SCH420071-00 SELF REGIONAL HEALTHCARE
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Covered Entity Details
Entity Name
SELF REGIONAL HEALTHCARE
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH420071-00
Entity Address
1325 SPRING STREET
GREENWOOD, SC 29646
Medicare Provider Number
420071
Participating Start Date
7/1/2024
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03869
321 N. MAIN ST.
SALUDA, SC 29138
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kendra Keeney, Sr. VP & COO
(864) 725-4771
Contract Pharmacy Representative
Self Regional Healthcare
Jennifer G Elrod, Director of Pharmacy Services
(864) 725-5774
Signed By Date
7/15/2024
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