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FUTRELL PHARMACY SERVICES INC.
CHC08737-05 Roanoke Chowan Community Health Center, Inc.
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Covered Entity Details
Entity Name
Roanoke Chowan Community Health Center, Inc.
Subdivision Name
Woodland Primary Care
Type
HRSA-Funded Health Center
340B ID
CHC08737-05
Entity Address
108 W Main St
Woodland, NC 27897-9802
Grant Number
H80CS08737
Participating Start Date
4/1/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
FUTRELL PHARMACY SERVICES INC.
Pharmacy Address
119 W JEFFERSON ST
WILLIAM R FUTRELL
JACKSON, NC 27845
Pharmacy Comments
01/31/2013 address line 1 update (was 9435 NC HIGHWAY 305,PO BOX 768)
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KIM SCHWARTZ, CEO
(252) 209-0237 Ext: 7124
Contract Pharmacy Representative
Roanoke Chowan Community Health Center
Ansley Kyle Lassiter, 340b Program Coordinator
(252) 332-3548 Ext: 7211
Signed By Date
7/17/2023
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