Contract Pharmacy Details

AMAZON PHARMACY #001
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

AMAZON PHARMACY #001

Pharmacy Address

4500 S PLEASANT VALLEY RD STE 201
AUSTIN, TX 78744-2911

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