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MT. OLIVE PHARMACY
CH04580B GOSHEN MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
GOSHEN MEDICAL CENTER, INC.
Subdivision Name
GOSHEN MEDICAL CENTER - COMMUNITY HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH04580B
Entity Address
325 NORTH CAROLINA 55 WEST
MOUNT OLIVE, NC 28365-8527
Grant Number
H80CS00181
Participating Start Date
10/1/2004
Last Recertification Date
3/11/2025
Pharmacy Details
Pharmacy Name
MT. OLIVE PHARMACY
Pharmacy Address
615 N. BREAZEALE AVENUE
MOUNT OLIVE, NC 28365
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
1/31/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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