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WALMART PHARMACY 10-7235
CH04102J GREENE COUNTY HEALTH CARE, INCORPORATED
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
Pamlico Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH04102J
Entity Address
313 MAIN ST
BAYBORO, NC 28515-9529
Grant Number
H80CS00088
Participating Start Date
4/1/2012
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-7235
Pharmacy Address
3801 S MEMORIAL DRIVE
WINTERVILLE, NC 28590
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vito Veneruso, Chief Operating Officer
(252) 253-0962
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/13/2023
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