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WINTER PARK DISCOUNT DRUG
CH045240 NEW HANOVER COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
NEW HANOVER COMMUNITY HEALTH CENTER INC
Subdivision Name
MedNorth Health Center
Type
HRSA-Funded Health Center
340B ID
CH045240
Entity Address
925 N 4th St
Wilmington, NC 28401-3450
Grant Number
H80CS00572
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WINTER PARK DISCOUNT DRUG
Pharmacy Address
5220 WRIGHTSVILLE AVE
WILMINGTON, NC 28403-7056
Pharmacy Comments
Contract Details
Approval Date
7/10/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/27/2020
Ownership change
Contacts
Covered Entity Signing Official
Althea Johnson, CEO
(910) 202-8623
Contract Pharmacy Representative
Seashore Discount Drug
Davie Waggett, Owner
(910) 791-6278
Signed By Date
7/10/2019
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