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HARRIS PHARMACY INC
TB27549 FRANKLIN COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
FRANKLIN COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB27549
Entity Address
107 INDUSTRIAL DRIVE
C
LOUISBURG, NC 27549
Grant Number
1NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
HARRIS PHARMACY INC
Pharmacy Address
105 N MAIN ST
P.O. BOX 328
LOUISBURG, NC 27549
Pharmacy Comments
Contract Details
Approval Date
4/6/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Scott LaVigne, Health Director
(919) 496-8111
Contract Pharmacy Representative
Harris Pharmacy INC
Ted Gupton, Owner
(919) 496-3543
Signed By Date
4/6/2018
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