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WALMART PHARMACY #10-4457
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
WALMART PHARMACY #10-4457
Pharmacy Address
336 HWY 9 WEST
BENNETTSVILLE, SC 29512
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ann Lewis, CEO
(843) 857-0111
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/14/2014
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