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PRIME THERAPEUTICS SPECIALTY PHARMACY LL
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
PRIME THERAPEUTICS SPECIALTY PHARMACY LL
Pharmacy Address
ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992
Pharmacy Comments
Contract Details
Approval Date
7/10/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Michelle Collins Ogle, Medical Director
(252) 572-2610
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2017
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