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BAYBORO PHARMACY
CH04102E GREENE COUNTY HEALTH CARE, INCORPORATED
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
GREENE COUNTY STUDENT HEALTH SVR
Type
HRSA-Funded Health Center
340B ID
CH04102E
Entity Address
HWY 91 W. 140 SCHOOL DRIVE
SNOW HILL, NC 28530-0000
Grant Number
H80CS00088
Participating Start Date
4/1/2007
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
BAYBORO PHARMACY
Pharmacy Address
702 MAIN ST
PO BOX 176
BAYBORO, NC 28515-9634
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vito Veneruso, Chief Operating Officer
(252) 253-0962
Contract Pharmacy Representative
Bayboro Pharmacy
Lori Altman, Owner
(252) 745-5539
Signed By Date
10/11/2023
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