340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OVERLAKE PHARMACY, LLC
CH04102E GREENE COUNTY HEALTH CARE, INCORPORATED
Print
Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
GREENE COUNTY STUDENT HEALTH SVR
Type
HRSA-Funded Health Center
340B ID
CH04102E
Entity Address
HWY 91 W. 140 SCHOOL DRIVE
SNOW HILL, NC 28530-0000
Grant Number
H80CS00088
Participating Start Date
4/1/2007
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
OVERLAKE PHARMACY, LLC
Pharmacy Address
4124 148TH AVE NE STE JA
REDMOND, WA 98052
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
Overlake Pharmacy LLC
Thao Phan, Pharmacist in Charge
(425) 968-8766
Signed By Date
7/19/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session