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MEDICAL ARTS PHARMACY
TB27565 GRANVILLE COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
GRANVILLE COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27565
Entity Address
1032 COLLEGE STREET
OXFORD, NC 27565
Grant Number
1NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/22/2024
Pharmacy Details
Pharmacy Name
MEDICAL ARTS PHARMACY
Pharmacy Address
253 RUIN CREEK RD
HENDERSON, NC 27536
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
Medical Arts Pharmacy
Cara Kirby, Office Manager
(252) 492-3404
Signed By Date
7/12/2023
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