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WALMART PHARMACY 10-6576
CH04522A RURAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES INC
Subdivision Name
Clyburn Center for Primary Care
Type
HRSA-Funded Health Center
340B ID
CH04522A
Entity Address
1000 Clyburn Place
Aiken, SC 29801
Grant Number
H80CS00653
Participating Start Date
1/1/2010
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-6576
Pharmacy Address
1041 EDGEFIELD ROAD
NORTH AUGUSTA, SC 29860
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/7/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carolyn Emanuel-McClain, CEO
(803) 380-7012
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/16/2018
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