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AHSSHC
CHC08240-05 HopeHealth, Inc.
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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
AHSSHC
Pharmacy Address
EXPEDIEN RX PHARMACY
5050 WESLEY RD STE 120
APOPKA, FL 32712
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Carl Humphries, CEO
(843) 667-9414 Ext: 1500
Contract Pharmacy Representative
Agape
Trenia Yielding, Executive Director
(407) 357-2601
Signed By Date
10/14/2016
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