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PROFESSIONAL PHARMACY
STD27565 GRANVILLE COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
GRANVILLE COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD27565
Entity Address
1032 COLLEGE STREET
OXFORD, NC 27565
Grant Number
6NH25PS005152-05-07
Participating Start Date
1/1/2009
Last Recertification Date
5/29/2024
Pharmacy Details
Pharmacy Name
PROFESSIONAL PHARMACY
Pharmacy Address
140 ROXBORO RD.
OXFORD, NC 27565
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
June Manning, Finance Officer
(919) 690-2100
Contract Pharmacy Representative
Professional Pharmacy
Kelly Claiborne, Office Manager
(919) 693-8555
Signed By Date
7/12/2023
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