Contract Pharmacy Details

ANDERSON PHARMACY
CHC08240-00 HopeHealth, Inc.

Covered Entity Details

Entity Name

HopeHealth, Inc.

Subdivision Name

HopeHealth Irby Street

Type

HRSA-Funded Health Center

340B ID

CHC08240-00

Entity Address

360 N Irby ST
Florence, SC 29501

Grant Number

H80CS08240

Participating Start Date

4/1/2013

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

ANDERSON PHARMACY

Pharmacy Address

419 S MILL ST
PO DRAWER 518
MANNING, SC 29102-2918

Pharmacy Comments

Contract Details

Approval Date

4/15/2013

Contract Begin Date

7/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Carl Humphries, CEO
(843) 667-9414 Ext: 1500

Contract Pharmacy Representative

Michael Ouzts, Pharmacist & Owner
(803) 433-2212

Signed By Date

4/15/2013