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AZ PHARMACY, LLC
CH04102N GREENE COUNTY HEALTH CARE, INCORPORATED
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Covered Entity Details
Entity Name
GREENE COUNTY HEALTH CARE, INCORPORATED
Subdivision Name
MOBILE VAN
Type
HRSA-Funded Health Center
340B ID
CH04102N
Entity Address
302 N Greene St
Snow Hill, NC 28580-1412
Grant Number
H80CS00088
Participating Start Date
7/1/2015
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
AZ PHARMACY, LLC
Pharmacy Address
DBA AMAZON PHARMACY #002
3809 E WATKINS ST
PHOENIX, AZ 85034
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
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
PILLPACK, INC.
GEOFF SWINDLE, CHIEF BUSINESS OFFICER
(855) 745-5725
Signed By Date
10/13/2023
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