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PIGGLY WIGGLY PHARMACY #196
FQHCLA274 GENESIS HEALTH CARE, INC.
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Covered Entity Details
Entity Name
GENESIS HEALTH CARE, INC.
Subdivision Name
Type
Health Center Program Look-Alike
340B ID
FQHCLA274
Entity Address
201 CASHUA STREET
DARLINGTON, SC 29532
Grant Number
LALCS00092
Participating Start Date
1/7/2011
Last Recertification Date
2/9/2015
Entity Termination Date
1/1/2016
Pharmacy Details
Pharmacy Name
PIGGLY WIGGLY PHARMACY #196
Pharmacy Address
100 NORTH RAILROAD AVENUE
LAMAR, SC 29069
Pharmacy Comments
Contract Details
Approval Date
4/2/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tony R. Megna, CEO
(803) 254-3676
Contract Pharmacy Representative
Donnie Stephens, Manager
(843) 326-7117
Signed By Date
4/2/2015
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