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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
101 ALLIANCE PARKWAY
WILLIAMSTON, SC 29697-9103
Pharmacy Comments
Distribution Center
Contract Details
Approval Date
10/1/2012
Contract Begin Date
10/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/17/2015
Business decision by covered entity and/or pharmacy
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
9/21/2012
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