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WALGREEN CO.
CH0423590 Tandem Health SC
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Covered Entity Details
Entity Name
Tandem Health SC
Subdivision Name
Tandem Health
Type
HRSA-Funded Health Center
340B ID
CH0423590
Entity Address
1278 North Lafayette Drive
Sumter, SC 29150-2964
Grant Number
H80CS00868
Participating Start Date
1/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #16396
805 PAMPLICO HWY.
SUITE B-130
FLORENCE, SC 29505
Pharmacy Comments
Contract Details
Approval Date
1/14/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/28/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
ANNIE BROWN, CEO
(803) 774-4545
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2018
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