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BLOUNT'S MUTUAL DRUGS, INC
FP279093 Pasquotank County Health Department
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Covered Entity Details
Entity Name
Pasquotank County Health Department
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP279093
Entity Address
711 ROANOKE AVENUE
ELIZABETH CITY, NC 27909
Grant Number
FPHPA006400-03-00
Participating Start Date
1/1/1998
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
BLOUNT'S MUTUAL DRUGS, INC
Pharmacy Address
323 S BROAD ST
EDENTON, NC 27932-1933
Pharmacy Comments
Contract Details
Approval Date
10/13/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nancy Nash, District Nursing Supervisor
(252) 338-4411
Contract Pharmacy Representative
JIM BLOUNT, PHARMACIST
(252) 482-2127
Signed By Date
10/13/2016
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