340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAROLINA PHARMACY OF THE LOWCOUNTRY
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
CAROLINA PHARMACY OF THE LOWCOUNTRY
Pharmacy Address
810 ELM STREET EAST
HAMPTON, SC 29924-2610
Pharmacy Comments
Contract Details
Approval Date
1/5/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/11/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JULIE B. ALLEN, CFO
(803) 943-1254
Contract Pharmacy Representative
Jeremy Simmons, Owner
(803) 914-0318
Signed By Date
1/5/2015
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