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ANDERSON PHARMACY
CHC08240-08 HopeHealth, Inc.
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Covered Entity Details
Entity Name
HopeHealth, Inc.
Subdivision Name
HopeHealth Manning Pediatrics
Type
HRSA-Funded Health Center
340B ID
CHC08240-08
Entity Address
12 W South St C
Manning, SC 29102
Grant Number
H80CS08240
Participating Start Date
7/1/2013
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
ANDERSON PHARMACY
Pharmacy Address
419 S MILL ST
PO DRAWER 518
MANNING, SC 29102-2918
Pharmacy Comments
Contract Details
Approval Date
10/16/2013
Contract Begin Date
1/1/2014
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
Michael Ouzts, Pharmacist & Owner
(803) 433-2212
Signed By Date
10/16/2013
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