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WALGREENS OF NORTH CAROLINA INC.
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
WALGREENS OF NORTH CAROLINA INC.
Pharmacy Address
DBA: WALGREENS #16154
140 NC HWY 102 WEST
AYDEN, NC 28513
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2023
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