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TODD'S PHARMACY OF GATES COUNTY
TB27937 GATES COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
GATES COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27937
Entity Address
29 MEDICAL CENTER ROAD
GATES, NC 27937
Grant Number
1NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
TODD'S PHARMACY OF GATES COUNTY
Pharmacy Address
TODD'S PHARMACY OF GATES COUNTY
504 MAIN STREET
GATESVILLE, NC 27938
Pharmacy Comments
Contract Details
Approval Date
4/8/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerry Parks, Health Director
(252) 338-4405
Contract Pharmacy Representative
BRAD HURDLE, PHARMACIST
(252) 357-1800
Signed By Date
4/8/2014
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