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SOUTH CAROLINA CVS PHARMACY, L.L.C.
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
SOUTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02251
41 EAST CALHOUN STREET
SUMTER, SC 29150
Pharmacy Comments
Contract Details
Approval Date
4/4/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ANNIE BROWN, CEO
(803) 774-4545
Contract Pharmacy Representative
Sumter Family Health Center
Nick Tomlinson, Director of Pharmacy
(803) 774-4631
Signed By Date
4/4/2018
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