Contract Pharmacy Details

LONGS DRUGS OF FLORENCE
CHC08240-10 HOPEHEALTH INC

Covered Entity Details

Entity Name

HOPEHEALTH INC

Subdivision Name

HopeHealth @ McLeod

Type

HRSA-Funded Health Center

340B ID

CHC08240-10

Entity Address

506 E Cheves St
Florence, SC 29506-2616

Grant Number

H80CS08240

Participating Start Date

1/1/2014

Last Recertification Date

3/4/2016

Entity Termination Date

7/1/2016

Pharmacy Details

Pharmacy Name

LONGS DRUGS OF FLORENCE

Pharmacy Address

360 N IRBY ST
FLORENCE, SC 29501

Pharmacy Comments

Contract Details

Approval Date

7/16/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2016

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Signed By Date

7/16/2015