340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FAMILY PHARMACY OF LOUISBURG
CH04100E Advance Community Health, Inc.
Print
Covered Entity Details
Entity Name
Advance Community Health, Inc.
Subdivision Name
Louisburg
Type
HRSA-Funded Health Center
340B ID
CH04100E
Entity Address
111 S Church St
Louisburg, NC 27549
Grant Number
H80CS00087
Participating Start Date
7/1/2013
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
FAMILY PHARMACY OF LOUISBURG
Pharmacy Address
SOUTHALL
339 S BICKETT BLVD
LOUISBURG, NC 27549-2754
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scot N. McCray, Chief Executive Officer
(919) 250-2923
Contract Pharmacy Representative
Family Pharmacy of Louisburg
Jarrett W Southall, Pharmacy Owner
(919) 340-1100
Signed By Date
10/16/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session