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FREDS PHARMACY #3171
SCH420072-00 HAMPTON REGIONAL MEDICAL CENTER
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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
FREDS PHARMACY #3171
Pharmacy Address
181 WEST CAROLINA AVENUE
P.O. BOX 1326
VARNVILLE, SC 29944
Pharmacy Comments
Contract Details
Approval Date
10/13/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
JULIE B. ALLEN, CFO
(803) 943-1254
Contract Pharmacy Representative
Shannon Strickland, SVP, Pharmacy Development
(901) 238-3113
Signed By Date
10/13/2015
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