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FAMILY CARE PHARMACY
STD27944 PERQUIMANS COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
PERQUIMANS COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD27944
Entity Address
103 ARPDC STREET
HERTFORD, NC 27944
Grant Number
6NH25PS005152-05-09
Participating Start Date
1/1/2009
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
FAMILY CARE PHARMACY
Pharmacy Address
DABNEY W SCAFF, RPH
606 S CHURCH ST
PO BOX 88
HERTFORD, NC 27944-1205
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
Family Care Pharmacy
Dabney Scaff, Owner
(252) 426-2214
Signed By Date
4/8/2014
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