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WILLIAMSBURG PHARMACY, INC.
CHC08240-00 HopeHealth, Inc.
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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
WILLIAMSBURG PHARMACY, INC.
Pharmacy Address
411 THURGOOD MARSHALL BOULEVARD
KINGSTREE, SC 29556
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/8/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carl Humphries, CEO
(843) 667-9414 Ext: 1500
Contract Pharmacy Representative
RACHAEL ATKINSON, RPH/PHARMACIST IN CHARGE
(843) 355-3300
Signed By Date
1/14/2014
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