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OVERMAN AND STEVENSON
TB27907 PASQUOTANK COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
PASQUOTANK COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27907
Entity Address
711 ROANOKE AVE
ELIZABETH CITY, NC 27909
Grant Number
1NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
OVERMAN AND STEVENSON
Pharmacy Address
512 E. MAIN ST.
ELIZABETH CITY, NC 27909-2790
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
PAUL STEVENSON, PHARMACIST
(252) 335-5401
Signed By Date
4/8/2014
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