Contract Pharmacy Details

SOUTH CAROLINA CVS PHARMACY, L.L.C.
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

SOUTH CAROLINA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03863
301 WEST THOMAS ST.
LAKE CITY, SC 29560

Pharmacy Comments

Contract Details

Approval Date

10/15/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/12/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

CVS
Christian Reid, 340B Program Director, CVS Pharmacy
(401) 770-2118

Signed By Date

10/15/2015

340B Drug Pricing Program Database