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MEDEXPRESS PHARMACY LTD
RWII27536 Warren-Vance Community Health Center
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Covered Entity Details
Entity Name
Warren-Vance Community Health Center
Subdivision Name
Northern Outreach Clinic
Type
Ryan White Part B
340B ID
RWII27536
Entity Address
120 Charles Rollins Rd. Suite 205
Henderson, NC 27536
Grant Number
X07HA00051
Participating Start Date
1/1/2012
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
MEDEXPRESS PHARMACY LTD
Pharmacy Address
1431 W INNES STREET
SALISBURY, NC 28144
Pharmacy Comments
Contract Details
Approval Date
2/2/2012
Contract Begin Date
2/2/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michelle Collins Ogle, Medical Director
(252) 572-2610
Contract Pharmacy Representative
David B. Post, CEO
(704) 633-3113
Signed By Date
1/17/2012
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