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REALO DISCOUNT DRUG
CH048120 KINSTON COMMUNITY HEALTH CENTER, INCORPORATED
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Covered Entity Details
Entity Name
KINSTON COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
KINSTON COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH048120
Entity Address
324 North Queen Street
Kinston, NC 28501-4932
Grant Number
H80CS00104
Participating Start Date
1/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
REALO DISCOUNT DRUG
Pharmacy Address
300 N QUEEN ST
KINSTON, NC 28501
Pharmacy Comments
Contract Details
Approval Date
11/19/2002
Contract Begin Date
11/19/2002
Carve-In Effective Date
Contract Comments
8/6/07 - AND CONTACT INFORMATION
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Realo Discount Drug
Hardy W. Creech II, Vice President
(252) 527-6929
Signed By Date
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