Contract Pharmacy Details

M.N. PHARMACY LLC
CH041020 GREENE COUNTY HEALTH CARE, INCORPORATED

Covered Entity Details

Entity Name

GREENE COUNTY HEALTH CARE, INCORPORATED

Subdivision Name

Snow Hill Integrated Care Center

Type

HRSA-Funded Health Center

340B ID

CH041020

Entity Address

1106 Kingold Blvd.
Snow Hill, NC 28580

Grant Number

H80CS00088

Participating Start Date

7/1/2000

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

M.N. PHARMACY LLC

Pharmacy Address

DBA AMAZON PHARMACY #003
6701 NW 7TH ST., STE. #199
MIAMI, FL 33126

Pharmacy Comments

Contract Details

Approval Date

7/19/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Paul Daniel Perritt, Consulting Chief Financial Officer
(252) 747-8162 Ext: 2001

Contract Pharmacy Representative

PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725

Signed By Date

7/19/2022

340B Drug Pricing Program Database