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WALGREEN CO.
DSH420068 THE REGIONAL MEDICAL CENTER (TRMC)
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Covered Entity Details
Entity Name
THE REGIONAL MEDICAL CENTER (TRMC)
Subdivision Name
OF ORANGEBURG & CALHOUN COUNTIES
Type
Disproportionate Share Hospital
340B ID
DSH420068
Entity Address
3000 ST. MATTHEWS ROAD
ORANGEBURG, SC 29118
Medicare Provider Number
420068
Participating Start Date
7/1/2004
Last Recertification Date
9/9/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09879
1106 JOHN C CALHOUN DRIVE
ORANGEBURG, SC 29115
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/9/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cheryl S. Mason, Chief Financial Officer
(803) 395-2224
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2014
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