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REALO DISCOUNT DRUG STORES OF JOHNSTON C
FP275775 JOHNSTON COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
JOHNSTON COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP275775
Entity Address
517 N. BRIGHT LEAF BLVD
SMITHFIELD, NC 27577
Grant Number
1FPHPA006555-02-00
Participating Start Date
1/1/1998
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
REALO DISCOUNT DRUG STORES OF JOHNSTON C
Pharmacy Address
601 N 8TH ST STE D
SMITHFIELD, NC 27577-4119
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marilyn Pearson, Health Director
(919) 989-5225
Contract Pharmacy Representative
Mitchell J. LeQuire, Vice President
(919) 934-2111
Signed By Date
7/11/2013
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