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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07715
103 GREENVILLE BLVD SE
GREENVILLE, NC 27858-5707
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
1/29/2025
Pharmacy closed
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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