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FAISON PHARMACY
CH04580F GOSHEN MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
GOSHEN MEDICAL CENTER, INC.
Subdivision Name
GOSHEN MEDICAL CENTER - CLINTON
Type
HRSA-Funded Health Center
340B ID
CH04580F
Entity Address
906 N US HWY 421
CLINTON, NC 28328-3502
Grant Number
H80CS00181
Participating Start Date
10/1/2004
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
FAISON PHARMACY
Pharmacy Address
206 SW CENTER ST
FAISON, NC 28341
Pharmacy Comments
Contract Details
Approval Date
10/1/2004
Contract Begin Date
10/1/2004
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/23/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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