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COROLLA PHARMACY
FP279292 CURRITUCK COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
CURRITUCK COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP279292
Entity Address
2795 Caratoke Hwy
CURRITUCK, NC 27929
Grant Number
5FPHPA006555-04-00
Participating Start Date
1/1/1998
Last Recertification Date
5/16/2025
Pharmacy Details
Pharmacy Name
COROLLA PHARMACY
Pharmacy Address
TODD'S PHARMACY OF CURRITUCK
532A CARATOKE HWY
PO BOX 520
MOYOCK, NC 27958-8740
Pharmacy Comments
Contract Details
Approval Date
7/3/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerry Parks, Health Director
(252) 338-4405
Contract Pharmacy Representative
SUSAN TATUM, PHARMACIST
(252) 232-0278
Signed By Date
7/3/2013
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