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JOSEFS PHARMACY LLC
FQHCLA398A NEIGHBORHEALTH CENTER, INC.
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Covered Entity Details
Entity Name
NEIGHBORHEALTH CENTER, INC.
Subdivision Name
NeighborHealth Center Susanne Berger Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA398A
Entity Address
2605 Blue Ridge Rd STE 225
Raleigh, NC 27607-6459
Grant Number
LALCS33334
Participating Start Date
10/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
JOSEFS PHARMACY LLC
Pharmacy Address
JOSEFS PHARMACY
2100 NEW BERN AVE
RALEIGH, NC 27610-2761
Pharmacy Comments
Contract Details
Approval Date
4/3/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lance Luttrell, Director of Compliance and Population Health
(984) 222-8000
Contract Pharmacy Representative
Hayes Barton Pharmacy
Brent Talley, Owner
(919) 832-4641
Signed By Date
4/3/2024
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