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FRED'S PHARMACY #2106
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
FRED'S PHARMACY #2106
Pharmacy Address
480 NELSON BLVD
KINGSTREE, SC 29556-4025
Pharmacy Comments
Contract Details
Approval Date
4/6/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Carl Humphries, CEO
(843) 667-9414 Ext: 1500
Contract Pharmacy Representative
Fred's Pharmacy
Nicole Pearson, 340B Program Manager
(901) 500-6153
Signed By Date
4/6/2017
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