340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SOUTH CAROLINA CVS PHARMACY, L.L.C.
SCH420072-00 HAMPTON REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
HAMPTON REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH420072-00
Entity Address
503 CAROLINA WEST
VARNVILLE, SC 29944
Medicare Provider Number
420072
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03861
705 ELM ST. WEST
HAMPTON, SC 29924
Pharmacy Comments
Contract Details
Approval Date
4/16/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JULIE B. ALLEN, CFO
(803) 943-1254
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
4/16/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session