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HIBBITTS DRUG COMPANY, LLC
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
HIBBITTS DRUG COMPANY, LLC
Pharmacy Address
735 MAIN ST N
NEW ELLENTON, SC 29809
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carolyn Emanuel-McClain, CEO
(803) 380-7012
Contract Pharmacy Representative
Amy Hibbitts, Owner
(803) 443-0077
Signed By Date
1/17/2017
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