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BLOUNT'S MUTUAL DRUGS, INC
TB27932 CHOWAN COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
CHOWAN COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27932
Entity Address
202 West Hicks Street
EDENTON, NC 27932
Grant Number
1NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
BLOUNT'S MUTUAL DRUGS, INC
Pharmacy Address
323 S BROAD ST
EDENTON, NC 27932-1933
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
JIM BLOUNT, PHARMACIST
(252) 482-2127
Signed By Date
4/8/2014
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