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WAL-MART PHARMACY 10-5997
CHC08240-02 HopeHealth, Inc.
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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
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/9/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carl Humphries, CEO
(843) 667-9414 Ext: 1500
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
7/13/2017
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