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FOOD LION, LLC
CH04680C PERSON FAMILY MEDICAL CENTER
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Covered Entity Details
Entity Name
PERSON FAMILY MEDICAL CENTER
Subdivision Name
Person Family Dental Center Caswell Site
Type
HRSA-Funded Health Center
340B ID
CH04680C
Entity Address
1076 NC Highway 86 N
Yanceyville, NC 27379-8645
Grant Number
H80CS00483
Participating Start Date
1/1/2020
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
FOOD LION, LLC
Pharmacy Address
DBA FOOD LION PHARMACY #67
1005 N MADISON BLVD
ROXBORO, NC 27573-4529
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JANET Anne WALKER, CFO
(336) 599-2900 Ext: 355
Contract Pharmacy Representative
Hannaford Bros. Co., LLc
Deanne Sargent, Manager Pharmacy Network & Buisness Development
(207) 885-3044
Signed By Date
7/15/2020
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