Contract Pharmacy Details

BRUNSON'S PHARMACY, LLC
CHC08240-08 HopeHealth, Inc.

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

BRUNSON'S PHARMACY, LLC

Pharmacy Address

12 N BROOKS ST
PO BOX 1250
MANNING, SC 29102-3206

Pharmacy Comments

Contract Details

Approval Date

10/17/2013

Contract Begin Date

1/1/2014

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

James V. Mathis Jr., Owner
(803) 435-2511

Signed By Date

10/17/2013