340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OLD MAIN PHARMACY
CH04900C ROBESON HEALTH CARE CORP
Print
Covered Entity Details
Entity Name
ROBESON HEALTH CARE CORP
Subdivision Name
JULIAN T. PIERCE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04900C
Entity Address
307 E. WARDELL DR
PEMBROKE, NC 28372-7998
Grant Number
H80CS00107
Participating Start Date
1/1/2003
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
OLD MAIN PHARMACY
Pharmacy Address
407 W THIRD STREET
PO BOX 2639
PEMBROKE, NC 28372
Pharmacy Comments
Contract Details
Approval Date
10/20/2009
Contract Begin Date
10/20/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jinnie Lowery, CEO
(910) 521-2900
Contract Pharmacy Representative
Signed By Date
10/20/2009
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