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WALGREEN CO.
CH04102H GREENE COUNTY HEALTH CARE, INCORPORATED
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
JAMES D. BERNSTEIN MEDICAL CTR
Type
HRSA-Funded Health Center
340B ID
CH04102H
Entity Address
261 Belvoir Rd
Greenville, NC 27834
Grant Number
H80CS00088
Participating Start Date
4/1/2007
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #19173
2438 STANTONSBURG RD
GREENVILLE, NC 27834
Pharmacy Comments
Contract Details
Approval Date
7/5/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DOUG SMITH, CEO
(252) 747-8162 Ext: 2205
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/5/2018
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