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PREMIER PHARMACY INC.
STD28777 Toe River Health District
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Covered Entity Details
Entity Name
Toe River Health District
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD28777
Entity Address
130 Forest Service Road
Suite D
Bakersville, NC 28705
Grant Number
6NH25PS005152-05-07
Participating Start Date
7/1/2014
Last Recertification Date
5/22/2024
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY INC.
Pharmacy Address
107 ESTATOA AVE
PO BOX 580
NEWLAND, NC 28657
Pharmacy Comments
Contract Details
Approval Date
6/4/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lynda Kinnane, Health Director
(828) 765-2239 Ext: 16
Contract Pharmacy Representative
Premier Pharmacy
Edward Dean, Phamacist
(828) 733-0061
Signed By Date
4/15/2014
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