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REALO DISCOUNT DRUG STORES OF GREENE CO.
TB28580 GREENE COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB28580
Entity Address
227 KINGOLD BLVD
SUITE B
SNOW HILL, NC 28580-1303
Grant Number
1NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
REALO DISCOUNT DRUG STORES OF GREENE CO.
Pharmacy Address
104 PARKWOOD DR
SNOW HILL, NC 28580-1336
Pharmacy Comments
Contract Details
Approval Date
7/7/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joy S Brock, Health Director
(252) 747-8183 Ext: 1300
Contract Pharmacy Representative
Realo
Robbie Massengill, Pharmacist
(252) 747-7004
Signed By Date
7/7/2022
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