Contract Pharmacy Details

EDEN DRUG STORE INC
CH044920 Compassion Health Care, Inc.

Covered Entity Details

Entity Name

Compassion Health Care, Inc.

Subdivision Name

CASWELL FAMILY MEDICAL CENTER

Type

HRSA-Funded Health Center

340B ID

CH044920

Entity Address

439 US Highway 158 W
Yanceyville, NC 27379-8304

Grant Number

H80CS00478

Participating Start Date

10/1/1997

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

EDEN DRUG STORE INC

Pharmacy Address

103 W STADIUM DR
EDEN, NC 27288

Pharmacy Comments

Contract Details

Approval Date

4/13/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/20/2022
Covered Entity Terminated

Contacts

Covered Entity Signing Official

William Crumpton, CEO
(336) 694-9331

Contract Pharmacy Representative

Eden Drug, Inc.
Pete Crouch, Owner
(336) 627-4854

Signed By Date

4/13/2020