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PROFESSIONAL PHARMACY
FP275367 Granville VANCE COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
Granville VANCE COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP275367
Entity Address
115 CHARLES ROLLINS RD
HENDERSON, NC 27536
Grant Number
FPHPA006555-03-00
Participating Start Date
1/1/2017
Last Recertification Date
5/28/2024
Pharmacy Details
Pharmacy Name
PROFESSIONAL PHARMACY
Pharmacy Address
140 ROXBORO RD.
OXFORD, NC 27565
Pharmacy Comments
Contract Details
Approval Date
10/4/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Harrison, Health Director
(919) 693-2141
Contract Pharmacy Representative
Professional Pharmacy
Gary Bowman, Pharmacist
(919) 693-8555
Signed By Date
10/4/2017
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