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BEULAVILLE PHARMACY, INC
CH04580G GOSHEN MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
GOSHEN MEDICAL CENTER, INC.
Subdivision Name
GOSHEN MEDICAL CENTER - BEULAVILLE
Type
HRSA-Funded Health Center
340B ID
CH04580G
Entity Address
119 CROSSOVER RD
BEULAVILLE, NC 28518-8801
Grant Number
H80CS00181
Participating Start Date
10/1/2004
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
BEULAVILLE PHARMACY, INC
Pharmacy Address
103 CROSSOVER RD
BEULAVILLE, NC 28518-8801
Pharmacy Comments
Contract Details
Approval Date
3/13/2009
Contract Begin Date
3/13/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/17/2022
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/4/2009
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