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BLOUNT'S MUTUAL DRUGS, INC
STD27932 CHOWAN COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
CHOWAN COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD27932
Entity Address
202 West Hicks Street
EDENTON, NC 27932
Grant Number
6NH25PS005152-05-09
Participating Start Date
1/1/2009
Last Recertification Date
5/16/2025
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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