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CENTERWELL PHARMACY, INC.
CH045220 RURAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES INC
Subdivision Name
MARGARET J. WESTON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH045220
Entity Address
4645 AUGUSTA ROAD
Beech Island, SC 29842
Grant Number
H80CS00653
Participating Start Date
7/1/1996
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CENTERWELL PHARMACY, INC.
Pharmacy Address
9843 WINDISCH RD
WEST CHESTER, OH 45069
Pharmacy Comments
Contract Details
Approval Date
1/10/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Branum, CEO
(803) 380-7010
Contract Pharmacy Representative
CenterWell Pharmacy
Jay Duprey, ASSOCIATE DIRECTOR, CHANNEL DEVELOPMENT
(248) 921-7578
Signed By Date
1/10/2025
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