Contract Pharmacy Details

KJS PHARMACY #129
CHC08240-02 HopeHealth, Inc.

Covered Entity Details

Entity Name

HopeHealth, Inc.

Subdivision Name

HopeHealth, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC08240-02

Entity Address

600 E Palmetto St
Florence, SC 29506

Grant Number

H80CS08240

Participating Start Date

7/1/2013

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

KJS PHARMACY #129

Pharmacy Address

240 KELLEY STREET
LAKE CITY, SC 29560

Pharmacy Comments

Contract Details

Approval Date

7/10/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Spencer Player, Pharmacist
(843) 374-1110

Signed By Date

7/10/2014