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EXPRESS DISCOUNT PHARMACY LLC
STD283011 Community Health Interventions and Sickle Cell Agency, Inc
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Covered Entity Details
Entity Name
Community Health Interventions and Sickle Cell Agency, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD283011
Entity Address
2409 Murchison Road
Fayetteville, NC 28301
Grant Number
6 NH25PS005152-05-07
Participating Start Date
10/1/2019
Last Recertification Date
5/22/2024
Pharmacy Details
Pharmacy Name
EXPRESS DISCOUNT PHARMACY LLC
Pharmacy Address
DBA EXPRESS DISCOUNT PHARMACY
1905 SKIBO RD STE 104
FAYETTEVILLE, NC 28314-0261
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
Delvin McAllister, CEO
(910) 488-6118
Contract Pharmacy Representative
Express Discount Pharmacy
Chijioke Okehie, Pharmacist-Manager
(910) 491-2431
Signed By Date
7/15/2020
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