Contract Pharmacy Details

REALO DISCOUNT DRUG STORES OF EASTERN NO
DSH340040 PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER

Covered Entity Details

Entity Name

PITT COUNTY MEMORIAL HOSPITAL, INCORPORATED d/b/a ECU HEALTH MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340040

Entity Address

2100 STANTONSBURG RD
GREENVILLE, NC 27834

Medicare Provider Number

340040

Participating Start Date

4/1/2003

Last Recertification Date

9/6/2024

Pharmacy Details

Pharmacy Name

REALO DISCOUNT DRUG STORES OF EASTERN NO

Pharmacy Address

CAROLINA INC
1913 E FIRE TOWER RD STE K
D/B/A REALO DISCOUNT DRUGS
GREENVILLE, NC 27858-4127

Pharmacy Comments

Contract Details

Approval Date

7/17/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Brian Floyd, PRESIDENT
(252) 847-5949

Contract Pharmacy Representative

Realo Discount Drugs
Joey McLaughlin, Owner
(910) 455-9982

Signed By Date

7/17/2018

340B Drug Pricing Program Database