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SUMMIT PHARMACY AND SURGICAL SUPPLIES LL
STD27401 NIA Community Action Center, Inc
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Covered Entity Details
Entity Name
NIA Community Action Center, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD27401
Entity Address
122 North Elm Street
Suite 520
Greensboro, NC 27401
Grant Number
NH25PSS005152
Participating Start Date
9/24/2020
Last Recertification Date
6/1/2024
Pharmacy Details
Pharmacy Name
SUMMIT PHARMACY AND SURGICAL SUPPLIES LL
Pharmacy Address
930 SUMMIT AVE
GREENSBORO, NC 27405
Pharmacy Comments
Contract Details
Approval Date
9/24/2020
Contract Begin Date
9/24/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Derrick Whitaker, Executive Director
(336) 617-7722
Contract Pharmacy Representative
Summit Pharmacy and Surgical Center
Vishal Patel, Pharmacy Manager
(336) 736-7282
Signed By Date
9/23/2020
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