Contract Pharmacy Details

DRUGS AMERICA
CH04900A ROBESON HEALTH CARE CORP

Covered Entity Details

Entity Name

ROBESON HEALTH CARE CORP

Subdivision Name

South Robeson Medical Center - New Construction

Type

HRSA-Funded Health Center

340B ID

CH04900A

Entity Address

210 S Walnut St
Fairmont, NC 28340-1956

Grant Number

H80CS00107

Participating Start Date

1/1/2003

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

DRUGS AMERICA

Pharmacy Address

103 EAST 24TH ST
LUMBERTON, NC 28358

Pharmacy Comments

Contract Details

Approval Date

11/12/2009

Contract Begin Date

11/12/2009

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jinnie Lowery, CEO
(910) 521-2900

Contract Pharmacy Representative

Signed By Date

11/11/2009