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SMITH'S DRUGS OF FOREST CITY
STD28722 POLK COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
POLK COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD28722
Entity Address
161 WALKER STREET
COLUMBUS, NC 28722
Grant Number
6 NH25PS005152-05-07
Participating Start Date
1/1/2009
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
SMITH'S DRUGS OF FOREST CITY
Pharmacy Address
139 E MAIN ST
FOREST CITY, NC 28043-3125
Pharmacy Comments
Contract Details
Approval Date
1/23/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James H. Hines Jr., Health Director
(828) 223-3908
Contract Pharmacy Representative
John Higgins, Pharmacist
(828) 245-4591
Signed By Date
1/23/2017
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