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REALO DISCOUNT DRUG STORES OF EASTERN NO
CH045800 GOSHEN MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
GOSHEN MEDICAL CENTER, INC.
Subdivision Name
GOSHEN MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH045800
Entity Address
444 SW Center St
Faison, NC 28341
Grant Number
H80CS00181
Participating Start Date
7/1/2003
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
REALO DISCOUNT DRUG STORES OF EASTERN NO
Pharmacy Address
CAROLINA INC
2680 HENDERSON DR
DBA REALO DISCOUNT DRUGS
JACKSONVILLE, NC 28546
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GREG BOUNDS, CEO
(910) 267-1942 Ext: 1117
Contract Pharmacy Representative
Realo Discount Drugs
Joey McLaughlin, Owner
(910) 455-9982
Signed By Date
4/7/2015
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