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REALO DISCOUNT DRUG STORES OF EASTERN NC
CH04102M GREENE COUNTY HEALTH CARE, INCORPORATED
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
GREENDALE FOREST
Type
HRSA-Funded Health Center
340B ID
CH04102M
Entity Address
1304 SE 2nd St
Snow Hill, NC 28580-2014
Grant Number
H80CS00088
Participating Start Date
7/1/2015
Last Recertification Date
2/7/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
REALO DISCOUNT DRUG STORES OF EASTERN NC
Pharmacy Address
11326 NC HWY 55 E
GRANTSBORO, NC 28529
Pharmacy Comments
Contract Details
Approval Date
9/25/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Vito Veneruso, Chief Operating Officer
(252) 253-0962
Contract Pharmacy Representative
Realo
Norman C. Lewis, Pharmacist
(252) 747-7004
Signed By Date
9/25/2023
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