Contract Pharmacy Details

LONGS DRUGS OF FLORENCE
CHC08240-05 HopeHealth, Inc.

Covered Entity Details

Entity Name

HopeHealth, Inc.

Subdivision Name

HopeHealth Lake City School-based Health Center

Type

HRSA-Funded Health Center

340B ID

CHC08240-05

Entity Address

652 N. Matthews Rd.
Lake City, SC 29560

Grant Number

H80CS08240

Participating Start Date

7/1/2013

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

LONGS DRUGS OF FLORENCE

Pharmacy Address

360 N IRBY ST
FLORENCE, SC 29501

Pharmacy Comments

Contract Details

Approval Date

10/11/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/3/2022
Pharmacy closed

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Jessica Barnwell, Pharmacist
(843) 656-0390

Signed By Date

10/11/2013