Contract Pharmacy Details

FUTRELL PHARMACY SERVICES, INC.
CHC08737-01 Roanoke Chowan Community Health Center, Inc.

Covered Entity Details

Entity Name

Roanoke Chowan Community Health Center, Inc.

Subdivision Name

Ahoskie Comprehensive Care

Type

HRSA-Funded Health Center

340B ID

CHC08737-01

Entity Address

120 Health Center Drive
Ahoskie, NC 27910-8131

Grant Number

H80CS08737

Participating Start Date

7/1/2005

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

FUTRELL PHARMACY SERVICES, INC.

Pharmacy Address

FUTRELL PHARMACY SERVICES, INC.
124 S MAIN ST
RICH SQUARE, NC 27869

Pharmacy Comments

Contract Details

Approval Date

7/13/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/14/2016
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

KIM SCHWARTZ, CEO
(252) 209-0237 Ext: 7124

Contract Pharmacy Representative

Futrell Pharmacy Services, Inc
William R. Futrell Sr., Owner
(252) 534-6001

Signed By Date

7/13/2015

340B Drug Pricing Program Database