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FUTRELL PHARMACY SERVICES INC.
CHC08737-01 Roanoke Chowan Community Health Center, Inc.
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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
119 W JEFFERSON ST
WILLIAM R FUTRELL
JACKSON, NC 27845
Pharmacy Comments
01/31/2013 address line 1 update (was 9435 NC HIGHWAY 305,PO BOX 768)
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
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