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YANCEYVILLE DRUG CO
TB27379 CASWELL COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
CASWELL COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27379
Entity Address
189 COUNTY PARK ROAD
YANCEYVILLE, NC 27379
Grant Number
1 NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
YANCEYVILLE DRUG CO
Pharmacy Address
YANCEYVILLE DRUG CO., INC.
106 COURT SQUARE
P.O. BOX 1108
YANCEYVILLE, NC 27379
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Frederick Moore, Health Director
(336) 694-4129
Contract Pharmacy Representative
Tracy Chandler, Owner
(336) 694-9323
Signed By Date
4/15/2014
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