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WALGREEN CO.
CH045230 CARE SOUTH CAROLINA,INC
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Covered Entity Details
Entity Name
CARE SOUTH CAROLINA,INC
Subdivision Name
CareSouth Carolina Inc. Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH045230
Entity Address
201 S 5th St
Hartsville, SC 29550-4211
Grant Number
H80CS00654
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06074
1000 BROAD ST
SUMTER, SC 29150
Pharmacy Comments
Contract Details
Approval Date
5/18/2012
Contract Begin Date
5/18/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim Walters, CFO
(843) 857-0111
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/29/2012
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