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WAL-MART PHARMACY 10-1130
SCH420038-00 Prisma Health Laurens County Hospital
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Covered Entity Details
Entity Name
Prisma Health Laurens County Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH420038-00
Entity Address
22725 HIGHWAY 76 EAST
CLINTON, SC 29325
Medicare Provider Number
420038
Participating Start Date
10/1/2015
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1130
Pharmacy Address
922 E MAIN STREET
LAURENS, SC 29360
Pharmacy Comments
Contract Details
Approval Date
9/22/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard D'Alberto, Campus President
(864) 833-9150
Contract Pharmacy Representative
Amanda Kerr, Pharmacist in Charge
(864) 682-8104
Signed By Date
9/22/2015
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