340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FAMILY PHARMACY OF LOUISBURG
CH041000 Advance Community Health, Inc.
Print
Covered Entity Details
Entity Name
Advance Community Health, Inc.
Subdivision Name
Southeast Raleigh - South
Type
HRSA-Funded Health Center
340B ID
CH041000
Entity Address
1011 Rock Quarry Rd
Raleigh, NC 27610
Grant Number
H80CS00087
Participating Start Date
7/1/2001
Last Recertification Date
2/16/2025
Pharmacy Details
Pharmacy Name
FAMILY PHARMACY OF LOUISBURG
Pharmacy Address
SOUTHALL
339 S BICKETT BLVD
LOUISBURG, NC 27549-2754
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
Penella M. Washington, CEO
(919) 250-2923
Contract Pharmacy Representative
Family Pharmacy of Louisburg
Jarrett W Southall, Pharmacy Manager
(919) 340-1101
Signed By Date
7/17/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session