340B Drug Pricing Program Database

Pharmacy Name

FAMILY PHARMACY OF LOUISBURG

Pharmacy Address

SOUTHALL
339 S BICKETT BLVD
LOUISBURG, NC 27549-2754

Pharmacy Comments

Approval Date

4/2/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Scott LaVigne, Health Director
(919) 496-8111

Contract Pharmacy Representative

Family Pharmacy of Louisburg, L.L.C.
Jarrett Southall, Owner
(919) 340-1100

Signed By Date

4/2/2019