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PITTMAN'S PHARMACY
CHC08737-01 Roanoke Chowan Community Health Center, Inc.
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Covered Entity Details
Entity Name
Roanoke Chowan Community Health Center, Inc.
Subdivision Name
Ahoskie Comprehensive Care
Type
HRSA-Funded Health Center
340B ID
CHC08737-01
Entity Address
120 Health Center Drive
Ahoskie, NC 27910-8131
Grant Number
H80CS08737
Participating Start Date
7/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PITTMAN'S PHARMACY
Pharmacy Address
305 WEST GRANVILLE STREET
WINDSOR, NC 27983
Pharmacy Comments
Contract Details
Approval Date
10/16/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Ownership change
Contacts
Covered Entity Signing Official
KIM SCHWARTZ, CEO
(252) 209-0237 Ext: 7124
Contract Pharmacy Representative
Windsor Chemist Inc. dba Pittman's Pharmacy
Rajendra Appalaneni, Owner
(252) 794-2896
Signed By Date
10/16/2019
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