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AZ PHARMACY, LLC
CH04102C GREENE COUNTY HEALTH CARE, INCORPORATED
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
KATE B. REYNOLDS MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH04102C
Entity Address
205 Martin L King Jr Pkwy
Snow Hill, NC 28580-1320
Grant Number
H80CS00088
Participating Start Date
4/1/2007
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
AZ PHARMACY, LLC
Pharmacy Address
DBA AMAZON PHARMACY #002
3809 E WATKINS ST
PHOENIX, AZ 85034
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
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