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TODDS PHARMACY
TB27907 PASQUOTANK COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
PASQUOTANK COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27907
Entity Address
711 ROANOKE AVE
ELIZABETH CITY, NC 27909
Grant Number
1NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/16/2025
Pharmacy Details
Pharmacy Name
TODDS PHARMACY
Pharmacy Address
207-209 SOUTH POINDEXTER ST
ELIZABETH CITY, NC 27909
Pharmacy Comments
Contract Details
Approval Date
9/23/2019
Contract Begin Date
9/23/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Battle R. Betts Jr., Health Director
(252) 338-4404
Contract Pharmacy Representative
Todd's PharmacyINC.
Dawn Munden, Pharmacist
(252) 335-2901
Signed By Date
9/23/2019
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