Contract Pharmacy Details

MANIFEST PHARMACY, LLC
CH045220 RURAL HEALTH SERVICES INC

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

MANIFEST PHARMACY, LLC

Pharmacy Address

1018 S BATESVILLE RD
STE 4A
GREER, SC 29650-5203

Pharmacy Comments

Contract Details

Approval Date

4/11/2013

Contract Begin Date

7/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2016
Pharmacy closed

Contacts

Covered Entity Signing Official

Carolyn Emanuel-McClain, CEO
(803) 380-7012

Contract Pharmacy Representative

Benjamin Walvoord, President
(864) 990-2880

Signed By Date

4/11/2013