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HAYWOOD PHARMACY
FP287861 HAYWOOD COUNTY HEALTH & HUMAN SERVICES AGENCY
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Covered Entity Details
Entity Name
HAYWOOD COUNTY HEALTH & HUMAN SERVICES AGENCY
Subdivision Name
Public Health Services Division
Type
Family Planning (Title X only)
340B ID
FP287861
Entity Address
157 Paragon Parkway
Suite 800
Clyde, NC 28721
Grant Number
5 FPHPA006555-04-00
Participating Start Date
1/1/1998
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
HAYWOOD PHARMACY
Pharmacy Address
PALCOY, INC
221 PARAGON PKWY
STE 9
CLYDE, NC 28721-8509
Pharmacy Comments
Contract Details
Approval Date
10/5/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/10/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Patrick Johnson, Health Director
(828) 356-2244
Contract Pharmacy Representative
Haywood Pharmacy
Jeff Ferguson, Owner/Pharmacist
(828) 454-5455
Signed By Date
10/5/2017
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